Active NPI
George Jeffrey Rhoden
- Counselor
- Flowood, MS
National Provider Identifier
1326539008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2283
- Practice address
- 117 Park Circle Dr
Flowood, MS 39232-8878 - Phone
- (601) 788-7003
- NPI assigned
- May 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2283 | MS | |
| Mental Health Counselor | 101YM0800X | 2283 | MS | |
| Professional Counselor | 101YP2500X | 2283 | MS | |
| Counselor | 101Y00000X | 2283 | MS | Primary |
Addresses
Primary practice location
117 Park Circle Dr
Flowood, MS 39232-8878
Mailing address
117 Park Circle Dr
Flowood, MS 39232-8878
Phone (601) 788-7003
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 |
|---|---|---|---|
| 2283 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1326539008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 PARK CIRCLE DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328878",
"telephone_number": "601-788-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 PARK CIRCLE DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328878",
"telephone_number": "601-788-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODEN",
"first_name": "GEORGE",
"middle_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MS",
"license": "2283",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2283",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2283",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "2283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.