Heal Thy Self Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEAL THY SELF COUNSELING SERVICES, LLC

Practice address

4500 I 55 N Ste 220
Jackson, MS 39211-5931

Phone

(601) 521-0213

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dorothy S Smith, LCSWNPI 1710326194

Title

Director of Clinical Services

Phone

(601) 521-0213

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dorothy Smith, LCSW Doing business as

Tax ID family

Dr Dorothy Smith LCSW2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heal Thy Self Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ridgeland, MS
  • NPI 1366397424
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorothy S Smith, LCSW

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1710326194
  NPD Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1225626286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 ELMS CV",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571046",
            "telephone_number": "601-521-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 I 55 N STE 220",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115931",
            "telephone_number": "601-521-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL THY SELF COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "601-521-0213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Dorothy Smith, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Richard Hayslett
• Leah Headings, LCSW
• Deborah G Headley, CFNP
• Massie H Headley, MD
• Heal All Wound Care LLC
• Healing in the Truth Therapy
• Healsafe Wound Clinic
• Health Care Options Hospice of Mississippi LLC
• Healthtech Behavioral Health Center
• Healthy Eyes Family Vision Center LLC

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.