Individual provider Active NPI

Shawnda Liggins, MS , NCC, CMHT, LPC

  • Professional Counselor
  • Olive Branch, MS
National Provider Identifier
1437607496
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2572 Issued in MS
Practice address
7139 Commerce Dr Ste C1
Olive Branch, MS 38654-2100
Phone
(662) 420-7387
Fax
(662) 420-7387
NPI assigned
Sep 19, 2016
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3822 MS
Professional Counselor 101YP2500X 2572 MS Primary

Addresses

Primary practice location

7139 Commerce Dr Ste C1
Olive Branch, MS 38654-2100

Mailing address

303 N Madison St
Corinth, MS 38834-5072
Phone (662) 286-9883

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3822MSMDMental Health Counselor
2572MSMDSports Dietetics Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Region IV Mental Health Services Past Accepting new patients
Region IV the Hub Past Accepting new patients
Region IV Mental Health Services Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1437607496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N MADISON ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345072",
            "telephone_number": "662-286-9883",
            "fax_number": "662-284-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 COMMERCE DR STE C1",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542100",
            "telephone_number": "662-420-7387",
            "fax_number": "662-420-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGGINS",
        "first_name": "SHAWNDA",
        "credential": "MS , NCC, CMHT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3822",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.