Organization Active NPI

Lakeland Counseling Associates, LLC

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1346451382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
779 Issued in MS
Legal business name
LAKELAND COUNSELING ASSOCIATES, LLC
Practice address
1640 Lelia Dr
Suite 140
Jackson, MS 39216-4832
Phone
(601) 981-5678
Fax
(601) 981-5996
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Walter L Frazier, LPC
Title
Counselor
Phone
(601) 981-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 779 MS Primary

Addresses

Primary practice location

1640 Lelia Dr
Suite 140
Jackson, MS 39216-4832

Mailing address

1640 Lelia Dr
Suite 140
Jackson, MS 39216-4832
Phone (601) 981-5678

National Provider Directory

National Provider Directory

Locations

1640 Lelia Dr
Ste 140
Jackson, MS 39216
Phone (601) 706-9611

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346451382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 LELIA DR",
            "address_2": "SUITE 140",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164832",
            "telephone_number": "601-981-5678",
            "fax_number": "601-981-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 LELIA DR",
            "address_2": "SUITE 140",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164832",
            "telephone_number": "601-981-5678",
            "fax_number": "601-981-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "601-981-5678",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "779",
            "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 Aug 22, 2020; 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.