NPIMap

Organization Active NPI

Lifeworks Counseling

  • Community/Behavioral Health Agency
  • Madison, MS
National Provider Identifier
1124471412
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1897 Issued in MS
Legal business name
LIFEWORKS COUNSELING
Practice address
940 Ebenezer Blvd.
Madison, MS 39110
Phone
(601) 790-0583
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mr. Roane Therell Hunter Sr., LPCNPI 1164863130
Title
Counselor/ Family Therapist
Phone
(601) 790-0583

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1897 MS Primary
Community/Behavioral Health Agency 251S00000X 1830 MS

Addresses

Primary practice location

940 Ebenezer Blvd.
Madison, MS 39110

Mailing address

818 Beaumont Dr
Madison, MS 39110-7310
Phone (601) 790-0583

National Provider Directory

National Provider Directory

Locations

940 Ebenezer Blvd
Madison, MS 39110
Phone (601) 790-0583

2094 Old Taylor Rd
Ste 157
Oxford, MS 38655
Phone (601) 790-0583

201 S Lafayette St
Starkville, MS 39759

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1124471412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 BEAUMONT DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107310",
            "telephone_number": "601-790-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 EBENEZER BLVD.",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-790-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROANE",
        "authorized_official_middle_name": "THERELL",
        "authorized_official_title_or_position": "COUNSELOR/ FAMILY THERAPIST",
        "authorized_official_telephone_number": "601-790-0583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "1897",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "1830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.