Organization Active NPI

Passionate Living Counseling

  • Marriage & Family Therapist
  • Jackson, MS
National Provider Identifier
1023575347
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PASSIONATE LIVING COUNSELING
Practice address
1755 Lelia Dr Ste 105
Jackson, MS 39216-4828
Phone
(601) 925-0707
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Mr. Philip Hardin, LPC, LMFTNPI 1568523413
Title
Main Counselor/Therapist
Phone
(601) 925-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1755 Lelia Dr Ste 105
Jackson, MS 39216-4828

Mailing address

1755 Lelia Dr Ste 105
Jackson, MS 39216-4828
Phone (601) 925-0707

Other practice location 1

563 Johnson Ave
Fairhope, AL 36532-2113
Phone (601) 925-0707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1023575347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 LELIA DR STE 105",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164828",
            "telephone_number": "601-925-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 LELIA DR STE 105",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164828",
            "telephone_number": "601-925-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "563 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365322113",
            "country_code": "US",
            "telephone_number": "601-925-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PASSIONATE LIVING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MAIN COUNSELOR/THERAPIST",
        "authorized_official_telephone_number": "601-925-0707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Feb 22, 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.

Verify at the official NPI Registry.