Active NPI
Misty Weaver, LPC, CMHT
- Professional Counselor
- Corinth, MS
National Provider Identifier
1295049294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2113
- Practice address
- 301 S Cass St
Corinth, MS 38834-6109 - Phone
- (662) 286-9860
- Fax
- (662) 286-8095
- NPI assigned
- Aug 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2113 | MS | Primary |
| Mental Health Counselor | 101YM0800X | 2368 | MS |
Addresses
Primary practice location
301 S Cass St
Corinth, MS 38834-6109
Mailing address
PO Box 839
301 Cass St
Corinth, MS 38835-0839
Phone (662) 286-9860
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2368 | MS | MD | Mental Health Counselor |
| 2113 | MS | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1295049294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 839",
"address_2": "301 CASS ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388350839",
"telephone_number": "662-286-9860",
"fax_number": "662-286-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S CASS ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388346109",
"telephone_number": "662-286-9860",
"fax_number": "662-286-8095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "MISTY",
"credential": "LPC, CMHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2113",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2368",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.