Active NPI
Bevelynne Thornton, MS, LPC, NCC
- Professional Counselor
- Ridgeland, MS
National Provider Identifier
1134793276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1901
- Practice address
- 795 Woodlands Pkwy Ste 200
Ridgeland, MS 39157-5217 - Phone
- (601) 957-1575
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 1901 | MS | Primary |
Addresses
Primary practice location
795 Woodlands Pkwy Ste 200
Ridgeland, MS 39157-5217
Mailing address
1501 Highway 80 E Apt O7
Clinton, MS 39056-5363
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1901 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1134793276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 HIGHWAY 80 E APT O7",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 WOODLANDS PKWY STE 200",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391575217",
"telephone_number": "601-957-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "BEVELYNNE",
"credential": "MS, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.