NPIMap

Organization Active NPI

Mississippi Counseling Center,Corp

  • Social Worker
  • Jackson, MS
National Provider Identifier
1023364163
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MISSISSIPPI COUNSELING CENTER,CORP
Practice address
2460 Terry Rd Ste 350
Jackson, MS 39204-5767
Phone
(601) 214-1497
NPI assigned
Jul 26, 2012
Last updated
Jul 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Mr. Larry McCoy
Title
Executive Director
Phone
(601) 214-1497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2460 Terry Rd Ste 350
Jackson, MS 39204-5767

Mailing address

PO Box 11886
Jackson, MS 39283-1886
Phone (601) 214-1497

National Provider Directory

National Provider Directory

Locations

2460 Terry Rd
Ste 350
Jackson, MS 39204
Phone (601) 214-1497

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1023364163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11886",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392831886",
            "telephone_number": "601-214-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD STE 350",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "601-214-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI COUNSELING CENTER,CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-214-1497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.