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
| License | State | Type | Specialty |
|---|---|---|---|
| T0539 | MS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
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- Kimberly M. Barlow
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- Bethany Barnes
- Caroline Estes Barnes
All providers in Hattiesburg, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.