Individual provider Active NPI

Larry Ralph Massey, MAC MHC; D.MIN

  • Mental Health Counselor
  • Bessemer, AL
National Provider Identifier
1770052458
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC04702 Issued in AL
Practice address
6922 Pocahontas Rd
Bessemer, AL 35022-6812
Phone
(601) 674-0085
Fax
(205) 428-5146
NPI assigned
Nov 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC04702 AL Primary

Addresses

Primary practice location

6922 Pocahontas Rd
Bessemer, AL 35022-6812

Mailing address

6922 Pocahontas Rd
Bessemer, AL 35022-6812
Phone (205) 410-0979

Other practice location 1

100 Century Park S
Birmingham, AL 35226-3949
Phone (205) 565-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC04702ALMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1770052458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 POCAHONTAS RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226812",
            "telephone_number": "205-410-0979",
            "fax_number": "205-449-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6922 POCAHONTAS RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226812",
            "telephone_number": "601-674-0085",
            "fax_number": "205-428-5146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Century Park S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352263949",
            "country_code": "US",
            "telephone_number": "205-565-6554",
            "fax_number": "888-386-9624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "LARRY",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "MAC MHC; D.MIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-25",
        "last_updated": "2023-12-06",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC04702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.