Organization Active NPI

Step Up Counseling & Consulting

  • Clinical Social Worker
  • Jackson, MS
National Provider Identifier
1235499351
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STEP UP COUNSELING & CONSULTING
Practice address
2628 Southerland St
Suite D
Jackson, MS 39216-4825
Phone
(601) 826-0333
NPI assigned
May 22, 2012
Last updated
May 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Ms. Ronda Trivista Aldridge, LCSW
Title
Therapist
Phone
(601) 826-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X MS Primary

Addresses

Primary practice location

2628 Southerland St
Suite D
Jackson, MS 39216-4825

Mailing address

2628 Southerland St
Suite D
Jackson, MS 39216-4825
Phone (601) 826-0333

Other identifiers 1

IdentifierTypeStateIssuer
00682563MedicaidMS

National Provider Directory

National Provider Directory

Locations

2628 Southerland St
Ste D
Jackson, MS 39216
Phone (601) 826-0333

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1235499351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 SOUTHERLAND ST",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164825",
            "telephone_number": "601-826-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 SOUTHERLAND ST",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164825",
            "telephone_number": "601-826-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "TRIVISTA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "601-826-0333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00682563",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.