Individual provider Active NPI

Jennifer Lee Little, MAS, LMFT

  • Marriage & Family Therapist
  • Atmore, AL
National Provider Identifier
1881162220
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
L619 Issued in AL
Practice address
3421 Highway 21
Atmore, AL 36502-4669
Phone
(850) 601-1679
NPI assigned
Nov 4, 2018
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3736 FL
Marriage & Family Therapist 106H00000X L619 AL Primary

Addresses

Primary practice location

3421 Highway 21
Atmore, AL 36502-4669

Mailing address

7901 4TH St N Ste 4000
St Petersburg, FL 33702-4305
Phone (850) 601-1679

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
I20240326000738 AL Practitioner - Marriage and Family Therapist 9537506555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Minds Consulting LLCGroup PAC ID 4981041415, 4 clinicians

Practice addresses (Care Compare)

3421 Hwy 21
Atmore, AL 36502-4669
Phone (251) 333-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L619ALMDMarriage & Family Therapist
MT3736FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Little Therapy, PLLC Marriage & Family Therapist CurrentSince May 16, 2022 Accepting new patients
Healthy Minds Consulting LLC CurrentSince Feb 21, 2024 Accepting new patients
Kugelman Counseling Center PastSince Jan 12, 2020 Accepting new patients

Locations

3421 Highway 21
Atmore, AL 36502
Phone (251) 333-2777

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1881162220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 4000",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "850-601-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 HIGHWAY 21",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365024669",
            "telephone_number": "850-601-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "MAS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-04",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3736",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atmore, AL

Sources for this page

Verify at the official NPI Registry.