Organization Active NPI

Advanced Psychotherapy and Associates

  • Counselor
  • Gulfport, MS
National Provider Identifier
1346967387
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ADVANCED PSYCHOTHERAPY AND ASSOCIATES
Practice address
8933C Lorraine Rd
Gulfport, MS 39503-4176
Phone
(228) 897-7730
Fax
(228) 575-0886
NPI assigned
Oct 20, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Miranda Chaney
Title
Billing Manager
Phone
(228) 456-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

8933C Lorraine Rd
Gulfport, MS 39503-4176

Mailing address

8933C Lorraine Rd
Gulfport, MS 39503-4176
Phone (228) 897-7730

National Provider Directory

National Provider Directory

Locations

8933 Lorraine Rd
Ste C
Gulfport, MS 39503
Phone (228) 236-2299

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": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1346967387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933C LORRAINE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034176",
            "telephone_number": "228-897-7730",
            "fax_number": "228-575-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8933C LORRAINE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034176",
            "telephone_number": "228-897-7730",
            "fax_number": "228-575-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHOTHERAPY AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "BILLING  MANAGER",
        "authorized_official_telephone_number": "228-456-3777"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.