NPIMap

Organization Active NPI

Mississippi Counseling Center

  • Social Worker
  • Jackson, MS
National Provider Identifier
1326388562
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M5907 Issued in MS
Legal business name
MISSISSIPPI COUNSELING CENTER
Practice address
2460 Terry Rd
Suite 800
Jackson, MS 39204-5767
Phone
(769) 524-4605
Fax
(769) 524-4610
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Theresia Ratliff, LCSW
Title
Consultant
Phone
(601) 988-5112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X M5907 MS Primary

Addresses

Primary practice location

2460 Terry Rd
Suite 800
Jackson, MS 39204-5767

Mailing address

2460 Terry Rd
Suite 800
Jackson, MS 39204-5767
Phone (769) 524-4605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1326388562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "address_2": "SUITE 800",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "769-524-4605",
            "fax_number": "769-524-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "address_2": "SUITE 800",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "769-524-4605",
            "fax_number": "769-524-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "THERESIA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "601-988-5112",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M5907",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 27, 2013; 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.