Individual provider Active NPI

Mark Richard Butts, MS

  • Marriage & Family Therapist
  • Daphne, AL
National Provider Identifier
1942742697
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT 1841 Issued in FL
Practice address
27625 US Highway 98 BLDG a
Daphne, AL 36526-4816
Phone
(251) 626-7959
Fax
(251) 626-6122
NPI assigned
Nov 12, 2016
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT 1841 FL Primary

Addresses

Primary practice location

27625 US Highway 98 BLDG a
Daphne, AL 36526-4816

Mailing address

27625 US Highway 98 BLDG a
Daphne, AL 36526-4816
Phone (251) 626-7959

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMT 1841FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Butts Counseling and Consulting LLC Current Accepting new patients

Locations

27625 US Highway 98
#A
Daphne, AL 36526
Phone (251) 626-7959

Organizations & group practices 1

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": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1942742697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27625 US HIGHWAY 98 BLDG A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264816",
            "telephone_number": "251-626-7959",
            "fax_number": "251-626-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27625 US HIGHWAY 98 BLDG A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264816",
            "telephone_number": "251-626-7959",
            "fax_number": "251-626-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-12",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT 1841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.