Active NPI
Heath Gerald Ferguson
- Professional Counselor
- Jackson, MS
National Provider Identifier
1073210449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0598
- Practice address
- 4500 Interstate 55 North Frontage Road
Jackson, MS 39211 - Phone
- (601) 405-7440
- NPI assigned
- Feb 15, 2023
- Sex
- Male
- 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 | P0598 | MS | Primary |
Addresses
Primary practice location
4500 Interstate 55 North Frontage Road
Jackson, MS 39211
Mailing address
142 Nesling Cove
Madison, MS 39110
Phone (601) 757-9215
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 |
|---|---|---|---|
| P0598 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1073210449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 NESLING COVE",
"city": "MADISON",
"state": "MS",
"postal_code": "39110",
"telephone_number": "601-757-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 INTERSTATE 55 NORTH FRONTAGE ROAD",
"city": "JACKSON",
"state": "MS",
"postal_code": "39211",
"telephone_number": "601-405-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "HEATH",
"middle_name": "GERALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "P0598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.