Organization Active NPI

The Counselor'S Cabin PLLC

  • Professional Counselor
  • Meridian, MS
National Provider Identifier
1255401618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0899 Issued in MS
Legal business name
THE COUNSELOR'S CABIN PLLC
Practice address
2100 9TH St Ste 306
Meridian, MS 39301-5005
Phone
(601) 482-2246
Fax
(601) 692-2246
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sacky Horne Holdiness, PHDNPI 1083784458
Title
Director
Phone
(601) 482-2246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0899 MS Primary

Addresses

Primary practice location

2100 9TH St Ste 306
Meridian, MS 39301-5005

Mailing address

2100 9TH St Ste 306
Meridian, MS 39301-5005
Phone (601) 482-2246

National Provider Directory

National Provider Directory

Locations

2100 9th St
Ste 306
Meridian, MS 39301
Phone (601) 482-2246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255401618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 9TH ST STE 306",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015005",
            "telephone_number": "601-482-2246",
            "fax_number": "601-692-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 9TH ST STE 306",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015005",
            "telephone_number": "601-482-2246",
            "fax_number": "601-692-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELOR'S CABIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLDINESS",
        "authorized_official_first_name": "SACKY",
        "authorized_official_middle_name": "HORNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-482-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.