Brittany Deanna Ducksworth, CMHT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5616 Issued in MS

Practice address

604 Highway 80 W Ste R
Clinton, MS 39056-4108

Phone

(601) 473-2106

Fax

(601) 473-2150

NPI assigned

May 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1013756733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 SANATORIUM RD",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391145444",
            "telephone_number": "601-695-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 HIGHWAY 80 W STE R",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564108",
            "telephone_number": "601-473-2106",
            "fax_number": "601-473-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKSWORTH",
        "first_name": "BRITTANY",
        "middle_name": "DEANNA",
        "name_prefix": "Prof.",
        "credential": "CMHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "5616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Clinton, MS
• Providers in Clinton, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.