NPIMap

Organization Active NPI

Rankin Baptist Association

Doing business as Rankin Baptist Association DBA Crossroads Counseling Center

  • Counselor
  • Pearl, MS
National Provider Identifier
1114962560
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0323 Issued in MS
Legal business name
RANKIN BAPTIST ASSOCIATION
Doing business as
Rankin Baptist Association DBA Crossroads Counseling Center
Practice address
5611 Highway 80 E
Pearl, MS 39208
Phone
(601) 939-6634
Fax
(601) 420-9252
NPI assigned
Jun 19, 2006
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Perry Sanderford, PHD
Title
Director
Phone
(601) 939-6634

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0323 MS Primary
Pastoral Counselor 101YP1600X
Marriage & Family Therapist 106H00000X 0323 MS

Addresses

Primary practice location

5611 Highway 80 E
Pearl, MS 39208

Mailing address

5611 Highway 80 E
Pearl, MS 39208
Phone (601) 939-6634

Other names 1

  • Rankin Baptist Association DBA Crossroads Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rankin Baptist Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16121 Lorraine Rd
Biloxi, MS 39532

16 Office Park Dr
Ste 4
Hattiesburg, MS 39402

209 Woodland Dr
Kosciusko, MS 39090

1515 Parker Dr
Laurel, MS 39440
Phone (601) 307-3917

5611 Highway 80 E
Pearl, MS 39208
Phone (601) 918-0746

14 Professional Pkwy
Ridgeland, MS 39157
Phone (601) 605-3001

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1114962560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "39208",
            "telephone_number": "601-939-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "39208",
            "telephone_number": "601-939-6634",
            "fax_number": "601-420-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANKIN BAPTIST ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SANDERFORD",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-939-6634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "0323",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "0323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rankin Baptist Association DBA Crossroads Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.