Active NPI
Passionate Living Counseling
- Marriage & Family Therapist
- Jackson, MS
National Provider Identifier
1023575347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Philip Hardin, LPC, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Clinton, MS
- NPI 1568523413
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.