Active NPI
Joshua Chad Watson, PH.D.
- Professional Counselor
- Meridian, MS
National Provider Identifier
1275619678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1045
- Practice address
- 2221 Hwy 39 North
Suite C
Meridian, MS 39301-2636 - Phone
- (601) 553-9937
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1045 | MS | Primary |
| Professional Counselor | 101YP2500X | 3860 | NC |
Addresses
Primary practice location
2221 Hwy 39 North
Suite C
Meridian, MS 39301-2636
Mailing address
6215 14TH Ave
Meridian, MS 39305-1234
Phone (601) 553-9937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3860 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275619678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 14TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393051234",
"telephone_number": "601-553-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 HWY 39 NORTH",
"address_2": "SUITE C",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393012636",
"telephone_number": "601-553-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "JOSHUA",
"middle_name": "CHAD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1045",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3860",
"primary": false
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.