Progressive Movement Counseling & Consultation Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1980 Issued in MS

Legal business name

PROGRESSIVE MOVEMENT COUNSELING & CONSULTATION SERVICES, LLC

Practice address

5735 Angle St
Jackson, MS 39206-2905

Phone

(601) 201-4421

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jerrilyn Dixson, LPC, NCC

Title

Therapist

Phone

(601) 201-4421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1184099749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 ANGLE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 ANGLE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062905",
            "telephone_number": "601-201-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MOVEMENT COUNSELING & CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "DIXSON",
        "authorized_official_first_name": "JERRILYN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "601-201-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.