Gloria Smith Whitley, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CO793 Issued in MS

Practice address

405 Briarwood Dr
Buildinga Suite 106-E
Jackson, MS 39206-3052

Phone

(601) 991-3156

Fax

(601) 991-3157

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407066855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31234",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392861234",
            "telephone_number": "601-201-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR",
            "address_2": "BUILDINGA SUITE 106-E",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063052",
            "telephone_number": "601-991-3156",
            "fax_number": "601-991-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "GLORIA",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "CO793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kathryn Whitehead, MD/PHD
• Jessica Whitehead, PTA
• Mary Garrard Whitehead, CCC-SLP
• Amber Nicole Whitehorn, PMHNP
• Barry Whites, MD
• Kerria Whitley
• Acie Whitlock Jr., DMD
• Bailey Nicole Whitmore
• Whitney Harris Drugs, Inc.
• Darby Hughes Whitney, MD

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.