David Matthew Mitchell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

152 Gateway Dr
Biloxi, MS 39531-4409

Phone

(228) 697-0019

NPI assigned

Sep 5, 2012

Last updated

Jun 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1174872105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 GATEWAY DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314409",
            "telephone_number": "228-697-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 GATEWAY DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314409",
            "telephone_number": "228-697-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi Orthopaedic Institute
• Mississippi Physical Therapy Services of Biloxi, LLC (Mississippi Physical Therapy Services of Biloxi)
• Mississippi State Department of Health
• Arthur Charles Mitchell Sr.
• Celia Price Mitchell, NP-C
• Desmon Craig Mitchell, PHD
• Joe R Mitchell III, O.D.
• Qiana Rochellique Mitchell, LPN
• Vincent Lee Mitchell, D.C.
• John Mohan, CRNA

• Professional Counselor in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.