Active NPI
Patricia Busby-Robinson, NCC, LPC
- Professional Counselor
- Greenwood, MS
National Provider Identifier
1003242264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1779
- Practice address
- 201 Fulton St
Greenwood, MS 38930-4324 - Phone
- (662) 644-5111
- Fax
- (662) 590-0263
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1779 | MS | Primary |
Addresses
Primary practice location
201 Fulton St
Greenwood, MS 38930-4324
Mailing address
PO Box 1312
Greenwood, MS 38935-1312
Phone (662) 299-7336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01684361 | Medicaid | MS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1779 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBR Counseling Center, LLC | Current | Accepting new patients |
Locations
201 Fulton St
Greenwood, MS 38930
Phone (662) 644-5111
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Greenwood, MS
- NPI 1689230807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558742400000",
"number": "1003242264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1312",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389351312",
"telephone_number": "662-299-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 FULTON ST",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304324",
"telephone_number": "662-644-5111",
"fax_number": "662-590-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSBY-ROBINSON",
"first_name": "PATRICIA",
"credential": "NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2019-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01684361",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.