NPIMap

Organization Active NPI

Gulf Coast Psychotherapy

  • Mental Health Counselor
  • Gulfport, MS
National Provider Identifier
1417147398
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GULF COAST PSYCHOTHERAPY
Practice address
12231A Ashley Dr
Gulfport, MS 39503-2775
Phone
(228) 832-2400
Fax
(228) 832-2431
NPI assigned
Jul 27, 2007
Last updated
Jul 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Jean R Pacher, MSW
Title
Owner
Phone
(228) 832-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12231A Ashley Dr
Gulfport, MS 39503-2775

Mailing address

12231A Ashley Dr
Gulfport, MS 39503-2775
Phone (228) 832-2400

National Provider Directory

National Provider Directory

Locations

180 Debuys Rd
Ste 120
Biloxi, MS 39531
Phone (228) 388-2900

12231A Ashley Dr
Gulfport, MS 39503
Phone (228) 832-2400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1417147398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231A ASHLEY DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032775",
            "telephone_number": "228-832-2400",
            "fax_number": "228-832-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12231A ASHLEY DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032775",
            "telephone_number": "228-832-2400",
            "fax_number": "228-832-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "PACHER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-832-2400",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.