Community Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COMMUNITY COUNSELING SERVICES

Practice address

1001 Main St
Columbus, MS 39701-4751

Phone

(601) 720-4102

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Woody Sistrunk

Title

Adult Outpatient Therapist

Phone

(601) 720-4102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1235041617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014751",
            "telephone_number": "601-720-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014751",
            "telephone_number": "601-720-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "SISTRUNK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WOODY",
        "authorized_official_title_or_position": "ADULT OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "601-720-4102"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.