Active NPI
Carla W Owens
- Professional Counselor
- Magee, MS
National Provider Identifier
1386463487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P-0952
- Practice address
- 128 Ella Walker Rd
Magee, MS 39111-5065 - Phone
- (601) 517-3047
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P-0952 | MS | Primary |
Addresses
Primary practice location
128 Ella Walker Rd
Magee, MS 39111-5065
Mailing address
102 Mount Zion Rd
Prentiss, MS 39474-4434
Phone (601) 517-3047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-0952 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1386463487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MOUNT ZION RD",
"city": "PRENTISS",
"state": "MS",
"postal_code": "394744434",
"telephone_number": "601-517-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 ELLA WALKER RD",
"city": "MAGEE",
"state": "MS",
"postal_code": "391115065",
"telephone_number": "601-517-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "CARLA",
"middle_name": "W",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "P-0952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magee, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.