Organization Active NPI

Gray Matter Counseling Services, Inc.

  • Professional Counselor
  • Starkville, MS
National Provider Identifier
1194489609
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRAY MATTER COUNSELING SERVICES, INC.
Practice address
1014 N Jackson St Ste F
Starkville, MS 39759-2211
Phone
(662) 497-2049
NPI assigned
Oct 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Authorized official

Name
Amanda Coleman, LPCNPI 1548470628
Title
LPC
Phone
(662) 617-3733

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1014 N Jackson St Ste F
Starkville, MS 39759-2211

Mailing address

288 Steele Rd
Starkville, MS 39759-4714
Phone (662) 617-3733

National Provider Directory

National Provider Directory

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": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635552000000",
    "number": "1194489609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 STEELE RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594714",
            "telephone_number": "662-617-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N JACKSON ST STE F",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592211",
            "telephone_number": "662-497-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY MATTER COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "662-617-3733",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.