Abigail Douglass

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

118 College Dr
Hattiesburg, MS 39406-0002

Phone

(601) 266-1000

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2022.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1306587969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SOUTHAMPTON RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017069",
            "telephone_number": "504-296-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060002",
            "telephone_number": "601-266-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W251696135",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy R Douglas, DNP, FNP-BC, WHNP-BC
• Christopher John Douglas, M.D.
• Garrett Douglas
• Laurie Evans Douglas, MD
• Sean Philip Douglas, MD
• Doves Home Care
• Lisa Cothren Dowden, CCC-SLP
• Downtown Pharmacy
• Dr. Michael S. Zaleski
• Kathryn Drake, P-LPC, LPMT, MT-BC

• All providers in Hattiesburg, MS
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.