Individual provider Active NPI

Juanda Croson, LPC

  • Professional Counselor
  • Hattiesburg, MS
National Provider Identifier
1245462977
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1391 Issued in MS
Practice address
423 Weathersby Rd Ste 150
Hattiesburg, MS 39402-1132
Phone
(504) 541-4924
NPI assigned
Aug 13, 2009
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1391 MS
Professional Counselor 101YP2500X 1391 MS Primary

Addresses

Primary practice location

423 Weathersby Rd Ste 150
Hattiesburg, MS 39402-1132

Mailing address

181 N Windridge Lane Apt a
Purvis, MS 39475
Phone (504) 541-4924

Other practice location 1

181 N Windridge Lane Apt A
Purvis, MS 39475-8380
Phone (504) 541-4924

Other practice location 2

607 Corinne St Ste C1
Hattiesburg, MS 39401-3852
Phone (504) 541-4924

Other names 1

  • Juanda L Croson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229002167 MS Practitioner - Mental Health Counselor 1759731920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

423 Weathersby Rd
Suite 150
Hattiesburg, MS 39402-0003
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

423 Weathersby Rd
Ste 150
Hattiesburg, MS 39402
Phone (504) 541-4924

4811 Old Canton Rd
Ste A
Jackson, MS 39211
Phone (228) 707-4340

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1245462977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N WINDRIDGE LANE APT A",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "39475",
            "telephone_number": "504-541-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 WEATHERSBY RD STE 150",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021132",
            "telephone_number": "504-541-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 N Windridge Lane Apt A",
            "address_purpose": "LOCATION",
            "city": "Purvis",
            "state": "MS",
            "postal_code": "394758380",
            "country_code": "US",
            "telephone_number": "504-541-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 Corinne St Ste C1",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394013852",
            "country_code": "US",
            "telephone_number": "504-541-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSON",
        "first_name": "JUANDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1391",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANDA",
            "last_name": "CROSON",
            "middle_name": "L",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.