Active NPI
Reta Cozette Chandler, LPC-S
- Professional Counselor
- Madison, MS
National Provider Identifier
1265249288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1771
- Practice address
- 505 McLaurin St
Madison, MS 39110-8613 - Phone
- (601) 291-9521
- NPI assigned
- Dec 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 1771 | MS | Primary |
Addresses
Primary practice location
505 McLaurin St
Madison, MS 39110-8613
Mailing address
505 McLaurin St
Madison, MS 39110-8613
Phone (601) 291-9521
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250131000359 | MS | Practitioner - Mental Health Counselor | 7911436282 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- PSP Medical Clinic LLC
Practice addresses (Care Compare)
1171 Hart St
Canton, MS 39046-4805
Phone (601) 859-9888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSP Medical Clinic | Single Specialty | Current | Accepting new patients |
| PSP Medical Clinic LLC | Single Specialty | Current | Accepting new patients |
Locations
1171 Hart St
Canton, MS 39046
Phone (601) 859-9888
2629 Courthouse Cir
Ste A
Flowood, MS 39232
Phone (601) 420-4300
1082A Gluckstadt Rd
Gluckstadt, MS 39110
Phone (601) 707-5621
1082 Gluckstadt Rd
#A
Gluckstadt, MS 39110
1435 Grand Ave
Yazoo City, MS 39194
Phone (662) 532-2399
Interoperability endpoints
- reta.chandler.p1@direct.magnoliamedical.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Canton, MS
- NPI 1225320708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1265249288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 MCLAURIN ST",
"city": "MADISON",
"state": "MS",
"postal_code": "391108613",
"telephone_number": "601-291-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 MCLAURIN ST",
"city": "MADISON",
"state": "MS",
"postal_code": "391108613",
"telephone_number": "601-291-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "RETA",
"middle_name": "COZETTE",
"name_prefix": "Mrs.",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-12",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
- Sarah Crisler Carlisle, D.M.D.
- Lauren Brittney Carmichael, RD, LD, CPT
- Rebecca L Cauthen, ACNP
- Lou Ann Cavett, OTR/L
- Central Mississippi Anesthesia Staffing LLC
- Timothy Chin-Yu Chen, MD
- Taylor McKinsey Chester
- Steven P. Chevalier, M.D.
- Child Development and Support Services
- Chiropractic of the South, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.