Individual provider Active NPI

Eric W Allen, LPC

  • Professional Counselor
  • Southaven, MS
National Provider Identifier
1447611694
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2323 Issued in MS
Practice address
232 Goodman Rd W
Southaven, MS 38671-8004
Phone
(662) 469-3216
NPI assigned
Mar 16, 2016
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2323 MS Primary

Addresses

Primary practice location

232 Goodman Rd W
Southaven, MS 38671-8004

Mailing address

861 Shadow View Dr
Hernando, MS 38632-8086
Phone (731) 439-1504

Other practice location 1

565 N Robinson St
Senatobia, MS 38668-2118
Phone (662) 612-6089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216001058 MS Practitioner - Mental Health Counselor 9830533926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Mental Health, LLC CurrentSince Jan 1, 2024 Accepting new patients
The Solution Center LLC CurrentSince Apr 6, 2025 Accepting new patients
In Sync Psychiatry LLC PastSince Jan 28, 2024 Accepting new patients

Locations

565 N Robinson St
Senatobia, MS 38668
Phone (662) 560-4313

232 Goodman Rd W
Southaven, MS 38671
Phone (662) 469-3216

232 Goodman Rd W
Ste 305B
Southaven, MS 38671

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1447611694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SHADOW VIEW DR",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328086",
            "telephone_number": "731-439-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 GOODMAN RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386718004",
            "telephone_number": "662-469-3216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 N Robinson St",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682118",
            "country_code": "US",
            "telephone_number": "662-612-6089",
            "fax_number": "662-612-6313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ERIC",
        "middle_name": "W",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.