Active NPI
Phashun King, MS
- Mental Health Counselor
- Starkville, MS
National Provider Identifier
1437650488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 220A N Jackson St
Starkville, MS 39759-2502 - Phone
- (662) 323-9318
- Fax
- (662) 323-5553
- NPI assigned
- Feb 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
220A N Jackson St
Starkville, MS 39759-2502
Mailing address
302 N Jackson St
Starkville, MS 39759-2504
Phone (662) 323-9318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240722002834 | MS | Practitioner - Mental Health Counselor | 7618326539 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Right Track Medical Group, Inc
Practice addresses (Care Compare)
200 Hwy 12 E
Starkville, MS 39759-3766
Phone (662) 234-7601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Track Medical Group, Inc | Current | Accepting new patients | |
| Precise Clinical Neuroscience Specialists | Past | Accepting new patients |
Locations
200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900
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": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1437650488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N JACKSON ST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592504",
"telephone_number": "662-323-9318",
"fax_number": "662-323-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220A N JACKSON ST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592502",
"telephone_number": "662-323-9318",
"fax_number": "662-323-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "PHASHUN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-26",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.