Active NPI
Adreanne Pugh, LPC, NCC, CCMHC
- Professional Counselor
- Oxford, MS
National Provider Identifier
1174119796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2552
- Practice address
- 224 County Road 303
Oxford, MS 38655-8357 - Phone
- (662) 202-7332
- NPI assigned
- Dec 17, 2020
- Sex
- Female
- 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 | 2552 | MS | Primary |
Addresses
Primary practice location
224 County Road 303
Oxford, MS 38655-8357
Mailing address
236 Van Voris St
Batesville, MS 38606-2018
Phone (662) 934-9847
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 |
|---|---|---|---|
| 2552 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1174119796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 VAN VORIS ST",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386062018",
"telephone_number": "662-934-9847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 COUNTY ROAD 303",
"city": "OXFORD",
"state": "MS",
"postal_code": "386558357",
"telephone_number": "662-202-7332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "ADREANNE",
"credential": "LPC, NCC, CCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.