Individual provider Active NPI

Anastasia Smith-McEwen, L.P.C.

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1477090496
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1752 Issued in MS
Practice address
1409 Springdale Dr
Jackson, MS 39211-3228
Phone
(601) 259-2403
NPI assigned
Jan 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

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 1752 MS Primary

Addresses

Primary practice location

1409 Springdale Dr
Jackson, MS 39211-3228

Mailing address

1409 Springdale Dr
Jackson, MS 39211-3228
Phone (601) 259-2403

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

State licenses

LicenseStateTypeSpecialty
1752MSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1477090496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 SPRINGDALE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113228",
            "telephone_number": "601-259-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 SPRINGDALE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113228",
            "telephone_number": "601-259-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-MCEWEN",
        "first_name": "ANASTASIA",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1752",
            "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 Jan 28, 2017; 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.