NPIMap

Organization Active NPI

Psychological Education Inc

Doing business as PsychEd

  • Addiction (Substance Use Disorder) Counselor
  • Horn Lake, MS
National Provider Identifier
1205451267
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PSYCHOLOGICAL EDUCATION INC
Doing business as
PsychEd
PsychEd Inc.
Practice address
4611 Jonathan Dr
Horn Lake, MS 38637-8959
Phone
(302) 222-7235
NPI assigned
Jun 15, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Joseph Ben Piercy, ICADC, LPCNPI 1063735033
Title
Coo
Phone
(302) 222-7235

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
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

4611 Jonathan Dr
Horn Lake, MS 38637-8959

Mailing address

4611 Jonathan Dr
Horn Lake, MS 38637-8959
Phone (302) 222-7235

Other identifiers 1

IdentifierTypeStateIssuer
1214764OtherMSMS SECRETARY OF STATE BUSINESS ID

Other names 2

  • PsychEd Doing business as
  • PsychEd Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2600:1702:3c20:2620:3d8a:a22e:1a6f:3b69 Health Information Exchange (HIE) Psychological Education Inc

National Provider Directory

National Provider Directory
Tax ID family
Psyched3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1205451267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JONATHAN DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378959",
            "telephone_number": "302-222-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 JONATHAN DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378959",
            "telephone_number": "302-222-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL EDUCATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "PIERCY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "302-222-7235",
        "authorized_official_credential": "ICADC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS SECRETARY OF STATE BUSINESS ID",
            "identifier": "1214764",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2600:1702:3c20:2620:3d8a:a22e:1a6f:3b69",
            "affiliation": "Y",
            "endpointDescription": "Business Computer System",
            "affiliationName": "Psychological Education Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4611 Jonathan Dr",
            "city": "Horn Lake",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386378959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PsychEd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PsychEd Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horn Lake, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.