NPIMap

Organization Active NPI

First Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olive Branch, MS
National Provider Identifier
1255631610
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FIRST COUNSELING INC
Practice address
6888 Goodman Rd
Suite 123
Olive Branch, MS 38654-8759
Phone
(662) 893-6300
Fax
(662) 893-6323
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Denise M Pratt, DPH
Title
Vice-President
Phone
(662) 893-6300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

6888 Goodman Rd
Suite 123
Olive Branch, MS 38654-8759

Mailing address

6888 Goodman Rd
Suite 123
Olive Branch, MS 38654-8759
Phone (662) 893-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110803000253 MS Part B Supplier - Clinic/Group Practice 9234308560 Receives reassigned benefits from 5 practitioners
Practice locations: Southaven, MS

National Provider Directory

National Provider Directory

Locations

6888 Goodman Rd
Ste 123
Olive Branch, MS 38654
Phone (662) 350-8647

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1255631610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 GOODMAN RD",
            "address_2": "SUITE 123",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548759",
            "telephone_number": "662-893-6300",
            "fax_number": "662-893-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 GOODMAN RD",
            "address_2": "SUITE 123",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548759",
            "telephone_number": "662-893-6300",
            "fax_number": "662-893-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "662-893-6300",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.