Active NPI
Ladonna Pybus
- Counselor
- Corinth, MS
National Provider Identifier
1043099674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- P-0990
- Practice address
- 806 S Parkway St
Corinth, MS 38834-6563 - Phone
- (662) 536-6210
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | P-0990 | MS | Primary |
Addresses
Primary practice location
806 S Parkway St
Corinth, MS 38834-6563
Mailing address
4807 Ramer Selmer Rd
Selmer, TN 38375-5441
Phone (469) 855-4804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-0990 | MS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1043099674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4807 RAMER SELMER RD",
"city": "SELMER",
"state": "TN",
"postal_code": "383755441",
"telephone_number": "469-855-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 S PARKWAY ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388346563",
"telephone_number": "662-536-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYBUS",
"first_name": "LADONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "P-0990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.