Organization Active NPI

Magnolia Heart Counseling LLC

  • Counseling Psychologist
  • Meridian, MS
National Provider Identifier
1386521920
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
MAGNOLIA HEART COUNSELING LLC
Practice address
4625 18TH Ave
Meridian, MS 39305-2775
Phone
(601) 938-5119
NPI assigned
Aug 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Dawn WrightNPI 1952188393
Title
LPC
Phone
(601) 938-5119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

4625 18TH Ave
Meridian, MS 39305-2775

Mailing address

4625 18TH Ave
Meridian, MS 39305-2775
Phone (601) 938-5119

Other practice location 1

4625 18th Ave
Meridian, MS 39305-2775
Phone (601) 938-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251107000048 MS Part B Supplier - Clinic/Group Practice 4183114119 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1386521920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 18TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052775",
            "telephone_number": "601-938-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 18TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052775",
            "telephone_number": "601-938-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4625 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393052775",
            "country_code": "US",
            "telephone_number": "601-938-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGNOLIA HEART COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "601-938-5119"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.