Active NPI
Kayla Anthony Erickson, LPC
- Professional Counselor
- Brandon, MS
National Provider Identifier
1053041194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1569
- Practice address
- 102 Thorngate Dr
Brandon, MS 39042-4202 - Phone
- (601) 540-0886
- NPI assigned
- Jun 13, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1569 | MS | Primary |
Addresses
Primary practice location
102 Thorngate Dr
Brandon, MS 39042-4202
Mailing address
102 Thorngate Dr
Brandon, MS 39042-4202
Phone (601) 540-0886
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 |
|---|---|---|---|
| 1569 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1053041194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 THORNGATE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390424202",
"telephone_number": "601-540-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 THORNGATE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390424202",
"telephone_number": "601-540-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "KAYLA",
"middle_name": "ANTHONY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
- Corinne Ely, MS
- Juarez Brown Emerson, REGISTERED NURSE
- Encounter Community Counseling Center, LLC
- Enduracare Acute Care Services LLC (Enduracare Acute Care Services Brandon)
- Erica Sutton,RN
- Erin Green DDS PC (Grants Ferry Family Dentistry)
- Brian K Ervin
- Baron C Evans
- Picton Timothy Evans, PHARMD
- Excel Physical Therapy and Wellness Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.