Organization Active NPI

Counseling for Wellness

  • Counselor
  • Olive Branch, MS
National Provider Identifier
1346019510
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
COUNSELING FOR WELLNESS
Practice address
6952 Dogwood MNR N Ste 101
Olive Branch, MS 38654-2091
Phone
(662) 420-6152
Fax
(907) 313-1400
NPI assigned
Dec 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mrs. Aaron Charisse Gough, LPCNPI 1356751853
Title
Owner
Phone
(662) 420-6152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

6952 Dogwood MNR N Ste 101
Olive Branch, MS 38654-2091

Mailing address

6952 Dogwood MNR N Ste 101
Olive Branch, MS 38654-2091
Phone (662) 420-6152

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1346019510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6952 DOGWOOD MNR N STE 101",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542091",
            "telephone_number": "662-420-6152",
            "fax_number": "907-313-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6952 DOGWOOD MNR N STE 101",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542091",
            "telephone_number": "662-420-6152",
            "fax_number": "907-313-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "CHARISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-420-6152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.