Organization Active NPI

Psychological Education Inc

  • Professional Counselor
  • Horn Lake, MS
National Provider Identifier
1033734231
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PSYCHOLOGICAL EDUCATION INC
Practice address
4611 Jonathan Dr
Horn Lake, MS 38637-8959
Phone
(302) 222-7235
NPI assigned
Jun 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Joseph Ben Piercy, LPC, ICADC
Title
Coo
Phone
(302) 222-7235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4611 Jonathan Dr
Horn Lake, MS 38637-8959

Mailing address

4611 Jonathan Dr
Horn Lake, MS 38637-8959
Phone (302) 222-7235

Other identifiers 1

IdentifierTypeStateIssuer
1214764OtherMSSECRETARY OF STATE BUSINESS ID

Other names 1

  • PsychEd Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2600:1702:3c20:2620:9066:3c22:c89:dcb9 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Psyched3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1033734231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JONATHAN DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378959",
            "telephone_number": "302-222-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 JONATHAN DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378959",
            "telephone_number": "302-222-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL EDUCATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "PIERCY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "302-222-7235",
        "authorized_official_credential": "LPC, ICADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE BUSINESS ID",
            "identifier": "1214764",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2600:1702:3c20:2620:9066:3c22:c89:dcb9",
            "affiliation": "Y",
            "endpointDescription": "Business Computer System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4611 Jonathan Dr",
            "city": "Horn Lake",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386378959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PsychEd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horn Lake, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.