Organization Active NPI

Creative Solutions Counseling Services PLLC

  • Psychiatry Physician
  • Meridian, MS
National Provider Identifier
1043734049
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CREATIVE SOLUTIONS COUNSELING SERVICES PLLC
Practice address
902 14TH St Ste B
Meridian, MS 39301-4455
Phone
(601) 207-5330
Fax
(888) 735-7202
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Authorized official

Name
Lasaundra L Roberts, PMHNP
Title
Sole MBR
Phone
(601) 207-5330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

902 14TH St Ste B
Meridian, MS 39301-4455

Mailing address

154 County Road 163
Corinth, MS 38834
Phone (662) 286-6565

National Provider Directory

National Provider Directory

Locations

902 14th St
Ste B
Meridian, MS 39301
Phone (601) 207-5330

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1043734049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 COUNTY ROAD 163",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-286-6565",
            "fax_number": "888-735-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 14TH ST STE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014455",
            "telephone_number": "601-207-5330",
            "fax_number": "888-735-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SOLUTIONS COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LASAUNDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "601-207-5330",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.