Organization Active NPI

New Leaf Counseling, Inc

  • Clinical Social Worker
  • Southaven, MS
National Provider Identifier
1306362405
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW LEAF COUNSELING, INC
Practice address
7075 Golden Oaks Loop W Ste 8
Southaven, MS 38671-9011
Phone
(901) 483-1086
NPI assigned
Aug 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Katie Christides, LCSW
Title
Provider/Owner
Phone
(901) 483-1086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7075 Golden Oaks Loop W Ste 8
Southaven, MS 38671-9011

Mailing address

7075 Golden Oaks Loop W Ste 8
Southaven, MS 38671-9011
Phone (901) 483-1086

National Provider Directory

National Provider Directory

Locations

7075 Golden Oaks Loop W
Ste 8
Southaven, MS 38671
Phone (901) 483-1086

4646 Poplar Ave
Ste 422
Memphis, TN 38117
Phone (901) 483-1086

4646 Poplar Ave
Ste 413
Memphis, TN 38117
Phone (901) 491-1446

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1306362405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 GOLDEN OAKS LOOP W STE 8",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719011",
            "telephone_number": "901-483-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 GOLDEN OAKS LOOP W STE 8",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719011",
            "telephone_number": "901-483-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTIDES",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "901-483-1086",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.