Christina Marie Ladd, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

39002270A Issued in IN

Practice address

1600 Broad Ave
Gulfport, MS 39501-3603

Phone

(228) 863-1132

Fax

(228) 865-1700

NPI assigned

Aug 13, 2008

Last updated

Oct 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Christina Marie Cavanaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1053567834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9870 NW UNION RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461586123",
            "telephone_number": "317-550-7553",
            "fax_number": "228-865-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013603",
            "telephone_number": "228-863-1132",
            "fax_number": "228-865-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1906",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39002270A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018213",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "CAVANAUGH",
            "middle_name": "MARIE",
            "credential": "PCMHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard F. Kutner, M.D.
• L Harper Healthcare and Transportation Services
• Kimberly N Lacap
• Enrique Lacuesta, D.D.S.
• Chaeleena Ladd, FNP
• Eric Howard Ladimer, DDS
• Ladner Roy Drugs, LLC. (Ladner drugs)
• Amanda-Kay Ladner, SLP
• Amber Ladner, FNP- C
• Ashlee Ladner, PHARMD

• Professional Counselor in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.