Individual provider Active NPI

Laycie Mott, LPC

  • Professional Counselor
  • Iuka, MS
National Provider Identifier
1770769846
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2319 Issued in MS
Practice address
1213 Maria LN
Iuka, MS 38852-1135
Phone
(662) 423-3332
Fax
(662) 286-8095
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 2319 MS Primary

Addresses

Primary practice location

1213 Maria LN
Iuka, MS 38852-1135

Mailing address

PO Box 839
Corinth, MS 38835-0839
Phone (662) 286-2152

Other names 1

  • Miss Laycie Vess Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240219002296 MS Practitioner - Mental Health Counselor 7012351968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1213 Maria LN
Iuka, MS 38852-1135
Phone (662) 423-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2319MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Region IV Desoto County Pharmacy CurrentSince Jan 17, 2024 Accepting new patients
Region IV Mental Health Services CurrentSince Jan 17, 2024 Accepting new patients

Locations

601 Foote St
Corinth, MS 38834
Phone (662) 287-4424

1213 Maria Ln
Iuka, MS 38852
Phone (662) 423-3332

Organizations & group practices 2

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1770769846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350839",
            "telephone_number": "662-286-2152",
            "fax_number": "662-286-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MARIA LN",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521135",
            "telephone_number": "662-423-3332",
            "fax_number": "662-286-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "LAYCIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAYCIE",
            "last_name": "VESS",
            "prefix": "MISS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.