Individual provider Active NPI

Daryl Ashlan Mason, LPC

  • Professional Counselor
  • Decatur, AL
National Provider Identifier
1902205503
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3645 Issued in AL
Practice address
4110 US Highway 31 S
Decatur, AL 35603-1644
Phone
(256) 260-7361
Fax
(256) 341-0747
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3645 AL Primary
Mental Health Counselor 101YM0800X C2332A AL

Addresses

Primary practice location

4110 US Highway 31 S
Decatur, AL 35603-1644

Mailing address

1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
Phone (256) 260-7361

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
C2332AALMDMental Health Counselor
3645ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of North Central Alabama Past Accepting new patients
Mental Health Center of North Central Alabama Inc. PastSince May 6, 1996 Accepting new patients

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1902205503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SOMERVILLE RD SE",
            "address_2": "SUITE 1",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014305",
            "telephone_number": "256-260-7361",
            "fax_number": "256-341-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 US HIGHWAY 31 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031644",
            "telephone_number": "256-260-7361",
            "fax_number": "256-341-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "DARYL",
        "middle_name": "ASHLAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3645",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C2332A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.