Nakesha Fleming, LCSW
Individual provider Active NPI Mental Health Counselor · Pontotoc, MS
NPI 1124803465 · NPPES record last updated Jun 14, 2024
Key facts
- NPI
- 1124803465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C10671 (MS)
- Practice address
- 184 W Bolton St
Pontotoc, MS 38863-1402 - Phone
- (662) 694-9210
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250611002559 | MS | Practitioner - Clinical Social Worker | 1153831839 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bridge Counseling Services and Consulting LLC | Mental Health | Current |
Accepting new patients |
Locations
184 W Bolton St
Pontotoc, MS 38863
Phone (662) 419-6736
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C10671 | MS | Yes |
Addresses
Primary practice location
184 W Bolton St
Pontotoc, MS 38863-1402
Mailing address
184 W Bolton St
Pontotoc, MS 38863-1402
Phone (662) 694-9210
NPI Registry JSON
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1124803465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 W BOLTON ST",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388631402",
"telephone_number": "662-694-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 W BOLTON ST",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388631402",
"telephone_number": "662-694-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "NAKESHA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2024-06-14",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "C10671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontotoc, MS
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- Tabatha Enis
- Teresa L Fitts
- Flavia H West MD
- Gates Eye Care LLC
- McKenzie Lee Gates
- Geriatric Specialties LLC
- Randel Gibson
- Patriece L Giddens
All providers in Pontotoc, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.