Individual provider Active NPI

Terri Casey Mudge, LPC

  • Professional Counselor
  • Mobile, AL
National Provider Identifier
1730255704
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2001 Issued in AL
Practice address
5905 Airport Blvd
Suite D
Mobile, AL 36608-3168
Phone
(251) 343-2597
Fax
(251) 343-0122
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2001 AL Primary

Addresses

Primary practice location

5905 Airport Blvd
Suite D
Mobile, AL 36608-3168

Mailing address

5905 Airport Blvd
Suite D
Mobile, AL 36608-3168
Phone (251) 343-2597

Other identifiers 1

IdentifierTypeStateIssuer
51527453OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228003880 AL Practitioner - Mental Health Counselor 1153766266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

374 S Greeno Rd
Fairhope, AL 36532-1916
Phone (251) 660-2360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Terri Mudge, LPC, Inc. Past Accepting new patients
Welcome Life Counseling, LLC Professional PastSince Nov 1, 2019 Accepting new patients

Locations

374 Greeno Rd S
Fairhope, AL 36532
Phone (251) 450-2250

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1730255704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 AIRPORT BLVD",
            "address_2": "SUITE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083168",
            "telephone_number": "251-343-2597",
            "fax_number": "251-343-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 AIRPORT BLVD",
            "address_2": "SUITE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083168",
            "telephone_number": "251-343-2597",
            "fax_number": "251-343-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDGE",
        "first_name": "TERRI",
        "middle_name": "CASEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51527453",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.