Individual provider Active NPI

Marla McMinn, MA, PLPC

  • Mental Health Counselor
  • Southaven, MS
National Provider Identifier
1548998867
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P-0326 Issued in MS
Practice address
6858 Swinnea Rd BLDG 7
Southaven, MS 38671-9493
Phone
(662) 536-6210
Fax
(662) 510-8820
NPI assigned
Aug 13, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P-0326 MS Primary

Addresses

Primary practice location

6858 Swinnea Rd BLDG 7
Southaven, MS 38671-9493

Mailing address

3148 Stonehenge Dr
Hernando, MS 38632-7366
Phone (901) 484-4256

Other identifiers 1

IdentifierTypeStateIssuer
32-0124592OtherAETNA

Other names 1

  • Marla McIngvale Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.hopeenrichmentcenter.com

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P-0326MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hec Medical CurrentSince Jan 12, 2025 Accepting new patients

Locations

6858 Swinnea Rd
Bldg 7
Southaven, MS 38671
Phone (662) 536-6210

Organizations & group practices 1

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": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1548998867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 STONEHENGE DR",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386327366",
            "telephone_number": "901-484-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 SWINNEA RD BLDG 7",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719493",
            "telephone_number": "662-536-6210",
            "fax_number": "662-510-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMINN",
        "first_name": "MARLA",
        "credential": "MA, PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "P-0326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "32-0124592",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.hopeenrichmentcenter.com",
            "affiliation": "N",
            "address_1": "6858 Swinnea Rd Bldg 7",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386719493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "MCINGVALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 25, 2022; 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.