Active NPI
Stephanie Armstrong
- Professional Counselor
- Southaven, MS
National Provider Identifier
1235897075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3200
- Practice address
- 1310 Goodman Rd E
Southaven, MS 38671-9542 - Phone
- (662) 397-1502
- Fax
- (501) 745-2378
- NPI assigned
- Nov 29, 2021
- Last updated
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3200 | MS | Primary |
Addresses
Primary practice location
1310 Goodman Rd E
Southaven, MS 38671-9542
Mailing address
1310 Goodman Rd E
Southaven, MS 38671-9542
Phone (662) 397-1502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3200 | Other | MS | MISSISSIPPI STATE BOARD FOR LICENSED PROFESSIONAL - LPC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephanie@soulshineheal.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3200 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soulshine Counseling and Wellness, LLC | Current | Accepting new patients |
Locations
1310 Goodman Rd E
Southaven, MS 38671
Phone (662) 470-5433
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Southaven, MS
- NPI 1700387768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1235897075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719542",
"telephone_number": "662-397-1502",
"fax_number": "501-745-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719542",
"telephone_number": "662-397-1502",
"fax_number": "501-745-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-29",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "3200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI STATE BOARD FOR LICENSED PROFESSIONAL - LPC",
"identifier": "3200",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephanie@soulshineheal.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "encryption",
"address_1": "1310 Goodman Rd E",
"city": "Southaven",
"state": "MS",
"country_code": "US",
"postal_code": "386719542",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.