NPIMap

Organization Active NPI

Shephearst Meadows, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Flowood, MS
National Provider Identifier
1063603702
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
39649 Issued in MS
Legal business name
SHEPHEARST MEADOWS, LLC
Practice address
513 Keywood Cir
Flowood, MS 39232-3019
Phone
(601) 933-1136
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Mrs. Cynthia Renea Hearst-Turner, M.A.NPI 1538440920
Title
Owner/Clinical Director
Phone
(601) 933-1136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 39649 MS Primary

Addresses

Primary practice location

513 Keywood Cir
Flowood, MS 39232-3019

Mailing address

PO Box 320754
Flowood, MS 39232-0754
Phone (601) 933-1136

National Provider Directory

National Provider Directory

Locations

120 Stone Creek Blvd
Ste 100
Flowood, MS 39232
Phone (601) 933-1136

513 Keywood Cir
Flowood, MS 39232
Phone (601) 933-1136

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1063603702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320754",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392320754",
            "telephone_number": "601-933-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 KEYWOOD CIR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323019",
            "telephone_number": "601-933-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHEARST MEADOWS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "HEARST-TURNER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "601-933-1136",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "39649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.