Organization Active NPI

Sessoms Therapeutic Counseling and Consulting Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flowood, MS
National Provider Identifier
1205436003
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SESSOMS THERAPEUTIC COUNSELING AND CONSULTING SERVICES, LLC
Practice address
232 Market St Ofc 230
Flowood, MS 39232-3339
Phone
(601) 914-7200
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Dr. Shonda Monique Sessoms, NCSC, DPC, LPC, NCCNPI 1780112268
Title
Licensed Professional Counselor
Phone
(601) 622-1274

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

232 Market St Ofc 230
Flowood, MS 39232-3339

Mailing address

PO Box 2681
Jackson, MS 39207-2681
Phone (601) 622-1274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240506001064 MS Part B Supplier - Clinic/Group Practice 8224478425 Receives reassigned benefits from 1 practitioner
Practice locations: Flowood, MS

National Provider Directory

National Provider Directory

Locations

10 Canebrake Blvd
Ste 11014
Flowood, MS 39232
Phone (769) 268-1080

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": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1205436003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2681",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392072681",
            "telephone_number": "601-622-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST OFC 230",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323339",
            "telephone_number": "601-914-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SESSOMS THERAPEUTIC COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "SESSOMS",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "601-622-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NCSC, DPC, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.