Individual provider Active NPI

Markesia Kijana Council, LMSW

  • Social Worker
  • Natchez, MS
National Provider Identifier
1396458808
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M10081 Issued in MS
Practice address
317 Highland Blvd Ste S
Natchez, MS 39120-4636
Phone
(601) 334-3606
Fax
(601) 445-1923
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M10081 MS Primary

Addresses

Primary practice location

317 Highland Blvd Ste S
Natchez, MS 39120-4636

Mailing address

PO Box 2169
Fayette, MS 39069-2169

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

LicenseStateTypeSpecialty
M10081MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Khari a Omolara PC CurrentSince Jan 1, 2023 Accepting new patients
Mississippi Behavioral Health Treatment Institute Incorporated Inc PastSince Jan 1, 2023 Accepting new patients

Locations

317 Highland Blvd
Ste S
Natchez, MS 39120
Phone (601) 445-1922

Organizations & group practices 2

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": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1396458808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2169",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390692169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HIGHLAND BLVD STE S",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204636",
            "telephone_number": "601-334-3606",
            "fax_number": "601-445-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCIL",
        "first_name": "MARKESIA",
        "middle_name": "KIJANA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M10081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.