Active NPI
Juanda Croson, LPC
- Professional Counselor
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1391
- Practice address
- 423 Weathersby Rd Ste 150
Hattiesburg, MS 39402-1132 - Phone
- (504) 541-4924
- NPI assigned
- Aug 13, 2009
- Last updated
- Nov 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.