Active NPI
Susan Weeks, LPC
- Professional Counselor
- Jackson, MS
National Provider Identifier
1295145431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1068
- Practice address
- 4500 I 55 N
Suite 220
Jackson, MS 39211-5930 - Phone
- (601) 201-0148
- NPI assigned
- Apr 28, 2014
- 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 | 1068 | MS | Primary |
Addresses
Primary practice location
4500 I 55 N
Suite 220
Jackson, MS 39211-5930
Mailing address
4500 I-55 North, Highland Village
Suite 220
Jackson, MS 39211-5931
Phone (601) 201-0148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12629403 | Other | MS | CAQH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1068 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1295145431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 I-55 NORTH, HIGHLAND VILLAGE",
"address_2": "SUITE 220",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115931",
"telephone_number": "601-201-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 I 55 N",
"address_2": "SUITE 220",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115930",
"telephone_number": "601-201-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKS",
"first_name": "SUSAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12629403",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.