Individual provider Active NPI

Donna Eldridge, LPC

  • Professional Counselor
  • Meridian, MS
National Provider Identifier
1376915298
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1694 Issued in MS
Practice address
3507 Causeyville Rd
Meridian, MS 39301-9174
Phone
(601) 527-2015
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1694 MS Primary

Addresses

Primary practice location

3507 Causeyville Rd
Meridian, MS 39301-9174

Mailing address

3507 Causeyville Rd
Meridian, MS 39301-9174
Phone (601) 527-2015

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240321001077 MS Practitioner - Mental Health Counselor 6901255462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive Innergy Counseling Services LLCGroup PAC ID 6204298367, 11 clinicians

Practice addresses (Care Compare)

1205 22ND Ave
Meridian, MS 39301-4010
Phone (601) 453-5734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Innergy Counseling Services, LLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

1205 22nd Ave
Meridian, MS 39301
Phone (601) 453-5734

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1376915298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 CAUSEYVILLE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393019174",
            "telephone_number": "601-527-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 CAUSEYVILLE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393019174",
            "telephone_number": "601-527-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "DONNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.