Organization Active NPI

Integrative Therapeutic Counseling and Consultants

  • Clinical Social Worker
  • Jackson, MS
National Provider Identifier
1427460302
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTEGRATIVE THERAPEUTIC COUNSELING AND CONSULTANTS
Practice address
5935 Highway 18 W Ste C
Jackson, MS 39209-9626
Phone
(601) 750-9909
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Mrs. Catrina Durr, LMSW
Title
Part Owner
Phone
(601) 750-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5935 Highway 18 W Ste C
Jackson, MS 39209-9626

Mailing address

5935 Highway 18 W Ste C
Jackson, MS 39209-9626
Phone (601) 750-9909

National Provider Directory

National Provider Directory

Locations

5935 Highway 18 W
Ste C
Jackson, MS 39209
Phone (601) 750-9909

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1427460302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 HIGHWAY 18 W STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099626",
            "telephone_number": "601-750-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 HIGHWAY 18 W STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099626",
            "telephone_number": "601-750-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPEUTIC COUNSELING AND CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "DURR",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "601-750-9909",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.