Active NPI
De'Andrea Latrice Eason
- Mental Health Counselor
- Cleveland, MS
National Provider Identifier
1396250106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3877
- Practice address
- 2504 Browning Road
Cleveland, MS 38732 - Phone
- (662) 809-6820
- Fax
- (662) 907-0621
- NPI assigned
- Dec 4, 2017
- Last updated
- Dec 4, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3877 | MS | Primary |
Addresses
Primary practice location
2504 Browning Road
Cleveland, MS 38732
Mailing address
2504 Browning Road 520
Greenwood, MS 38930-6022
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 |
|---|---|---|---|
| 3877 | MS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1396250106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 BROWNING ROAD 520",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389306022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 BROWNING ROAD",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "38732",
"telephone_number": "662-809-6820",
"fax_number": "662-907-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "DE'ANDREA",
"middle_name": "LATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "3877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, MS
- Mallory McKnight Dill
- Anna Marie Dobbins, PHARMD
- Wayne Anthony Dotson, MD
- Dynamic Cleveland Operating Company LLC (Bolivar Health and Rehabiliation Center)
- Lutoya Earvin, DPC, LPC, NCC, NCSC
- East-End Family Medical Clinic, LLC
- East-End Family Medical Clinic, LLC
- Edward Kofi Lartevi MD PMC
- Elder Aide Homemaker Services, LLC
- Elder Aide Homemaker Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.