Individual provider Active NPI

Olivia P Heard, LPC

  • Professional Counselor
  • Philadelphia, MS
National Provider Identifier
1477206134
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2386 Issued in MS
Practice address
532 Main St
Philadelphia, MS 39350-2562
Phone
(601) 781-8677
Fax
(601) 676-0550
NPI assigned
Feb 1, 2022
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 2386 MS Primary

Addresses

Primary practice location

532 Main St
Philadelphia, MS 39350-2562

Mailing address

532 Main St
Philadelphia, MS 39350-2562
Phone (601) 781-8677

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215002509 MS Practitioner - Mental Health Counselor 2668821646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2386MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Right Track Medical Group, Inc CurrentSince Dec 6, 2023 Accepting new patients
Beacon Behavioral of Mississippi, LLC PastSince Jul 21, 2024 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 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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1477206134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502562",
            "telephone_number": "601-781-8677",
            "fax_number": "601-676-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502562",
            "telephone_number": "601-781-8677",
            "fax_number": "601-676-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "OLIVIA",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.