Emma Boone, PHD, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1945 Issued in MS

Practice address

2102 Crossbridge Blvd
Byram, MS 39272-8716

Phone

(601) 672-7505

Fax

(601) 502-1721

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emmaboone@tdh.allscriptsdirect.net

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.

• New Life Counseling and Consulting Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Byram, MS
  • NPI 1710746847

  MS

  Medicare reassignment NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1356737852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CROSSBRIDGE BLVD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728716",
            "telephone_number": "601-672-7505",
            "fax_number": "601-502-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 CROSSBRIDGE BLVD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728716",
            "telephone_number": "601-672-7505",
            "fax_number": "601-502-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "EMMA",
        "credential": "PHD, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berry'S Prosthetics & Orthotics LLC
• Berry'S Prosthetics & Orthotics, LLC
• Better Care Healthcare Services, LLC.
• Nicholas Jeffrey Billings, PHARMD
• Pamela Bingham, P.A.
• Kirsten Cole Bowen, OT
• Kayana N Bradley, DNP, APRN, FNP-C
• Kyla Elise Bradley
• Okechi Chizaraekpere Brooks
• Ashley Bullock, OT

• All providers in Byram, MS
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.