Emily C Patridge, MMFT, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

2504 Browning Road
Greenwood, MS 38930-6022

Phone

(662) 453-6211

NPI assigned

Aug 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Region VI Community Mental Health Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1154433233

  Multi-Specialty

  NPD
• Garden Park

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1932437209
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1356699011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306022",
            "telephone_number": "662-453-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306022",
            "telephone_number": "662-453-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIDGE",
        "first_name": "EMILY",
        "middle_name": "C",
        "credential": "MMFT, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T10440",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Julyn Overstreet, NP-C
• Pain Treatment Centers of America PLLC
• Ravi Pande, MD
• Aubrey Mekenna-Reed Parker
• Bailee Parker
• Dominique Alexis Patterson
• Latasha Paynes
• PBR Counseling Center, LLC
• Bobbie Peoples, AT
• Krystal A Perez, NP

• Marriage & Family Therapist in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Marriage & Family Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.