Active NPI
Debra L Traughber, LPC-S, ACS
- Professional Counselor
- D'Iberville, MS
National Provider Identifier
1174668867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1324
- Practice address
- 17184 Coventry Estates Blvd
Diberville, MS 39540-3336 - Phone
- (228) 861-4432
- NPI assigned
- Feb 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 729 | AL | |
| Professional Counselor | 101YP2500X | 1324 | MS | Primary |
Addresses
Primary practice location
17184 Coventry Estates Blvd
Diberville, MS 39540-3336
Mailing address
17184 Coventry Estates Blvd
Diberville, MS 39540-3336
Phone (228) 861-4432
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 |
|---|---|---|---|
| 1324 | MS | MD | Chiropractor |
| 729 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1174668867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17184 COVENTRY ESTATES BLVD",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395403336",
"telephone_number": "228-861-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17184 COVENTRY ESTATES BLVD",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395403336",
"telephone_number": "228-861-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUGHBER",
"first_name": "DEBRA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LPC-S, ACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "729",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in D'Iberville, MS
- Kaela Tong, FNP
- Milton Eduardo Torres Caban, DMD
- Total Renal Care Inc (Gulf Islands Home Training)
- Christina Tran
- Doan Khanh Tran, D.M.D
- Debra Scardino Treutel, RPH
- Melissa Wilson Tucker, M.D.
- Angelos Basil Vamvakas, M.D.
- Vitality Wellness Clinic LLC (Vitality Medical Clinic and Spa)
- Wal-Mart Stores East , LP (Walmart Pharmacy 10-6166)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.