Ladonna Barner

Individual provider Active NPI Professional Counselor · Hattiesburg, MS

NPI 1023764495 · NPPES record last updated Feb 24, 2022

Key facts

NPI
1023764495
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
T0539 (MS)
Practice address
110 Patton Ave
Hattiesburg, MS 39401-6155
Phone
(601) 582-1111
Fax
(601) 450-0765
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T0539MSMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X T0539 MS Yes

Addresses

Primary practice location

110 Patton Ave
Hattiesburg, MS 39401-6155

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679
Phone (601) 705-1901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2022.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1023764495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18679",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048679",
            "telephone_number": "601-705-1901",
            "fax_number": "601-705-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PATTON AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016155",
            "telephone_number": "601-582-1111",
            "fax_number": "601-450-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNER",
        "first_name": "LADONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "T0539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

All providers in Hattiesburg, MS · Professional Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.