Organization Active NPI

Four Winds Counseling and Consulting

  • Clinical Social Worker
  • Olive Branch, MS
National Provider Identifier
1174382691
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FOUR WINDS COUNSELING AND CONSULTING
Practice address
6814 Crumpler Blvd Ste 201a
Olive Branch, MS 38654-1995
Phone
(860) 304-4773
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Allison Rogers, LCSWNPI 1790251320
Title
Owner
Phone
(860) 304-4773

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

6814 Crumpler Blvd Ste 201a
Olive Branch, MS 38654-1995

Mailing address

6814 Crumpler Blvd Ste 201a
Olive Branch, MS 38654-1995

National Provider Directory

National Provider Directory

Locations

6814 Crumpler Blvd
Ste 201A
Olive Branch, MS 38654
Phone (662) 967-4642

9849 Highway 178
Ste B
Olive Branch, MS 38654

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1174382691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 CRUMPLER BLVD STE 201A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6814 CRUMPLER BLVD STE 201A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541995",
            "telephone_number": "860-304-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR WINDS COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-304-4773",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.