Organization Active NPI

Lowes Counseling Center, LLC

  • Mental Health Counselor
  • Olive Branch, MS
National Provider Identifier
1467032813
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LOWES COUNSELING CENTER, LLC
Practice address
9851 Highway 178 Ste a
Olive Branch, MS 38654-3214
Phone
(662) 299-4061
Fax
(662) 874-6809
NPI assigned
Apr 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Authorized official

Name
Persephone Roshall Lowe, PH.D., LPC-SNPI 1720413479
Title
Owner
Phone
(662) 299-4061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9851 Highway 178 Ste a
Olive Branch, MS 38654-3214

Mailing address

9851 Highway 178 Ste a
Olive Branch, MS 38654-3214
Phone (662) 299-4061

National Provider Directory

National Provider Directory

Locations

9851 Highway 178
#A
Olive Branch, MS 38654
Phone (662) 253-8324

Practitioners & affiliated clinicians

Practitioners 1

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": "1618012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618012800000",
    "number": "1467032813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 HIGHWAY 178 STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543214",
            "telephone_number": "662-299-4061",
            "fax_number": "662-874-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 HIGHWAY 178 STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543214",
            "telephone_number": "662-299-4061",
            "fax_number": "662-874-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWES COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "PERSEPHONE",
        "authorized_official_middle_name": "ROSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-299-4061",
        "authorized_official_credential": "PH.D., LPC-S"
    },
    "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 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 10, 2021; 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.