Organization Active NPI

Lafayette Counseling Services LLC

  • Clinical Social Worker
  • Oxford, MS
National Provider Identifier
1073201430
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAFAYETTE COUNSELING SERVICES LLC
Practice address
2887 S Lamar Blvd
Oxford, MS 38655-5433
Phone
(662) 638-8877
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Kimberly Melton, LCSWNPI 1659732162
Title
Owner
Phone
(662) 638-8877

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2887 S Lamar Blvd
Oxford, MS 38655-5433

Mailing address

2887 S Lamar Blvd
Oxford, MS 38655-5433
Phone (662) 638-9331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251211001153 MS Part B Supplier - Clinic/Group Practice 5496249039 Receives reassigned benefits from 1 practitioner
Practice locations: Oxford, MS

National Provider Directory

National Provider Directory

Locations

2899 S Lamar Blvd
Oxford, MS 38655
Phone (662) 281-6326

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1073201430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2887 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555433",
            "telephone_number": "662-638-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2887 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555433",
            "telephone_number": "662-638-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-638-8877",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.