Individual provider Active NPI

Carla Lee Rawls, LPC, NCC, NCSC

  • Professional Counselor
  • Hattiesburg, MS
National Provider Identifier
1568036150
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P-0606 Issued in MS
Practice address
607 Corinne St Ste C3
Hattiesburg, MS 39401-3852
Phone
(601) 336-0805
NPI assigned
May 18, 2021
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 P-0606 MS Primary

Addresses

Primary practice location

607 Corinne St Ste C3
Hattiesburg, MS 39401-3852

Mailing address

5891 U S Highway 49 Ste 60-119
Hattiesburg, MS 39402-2810
Phone (601) 336-0805

Other practice location 1

103 Millcreek Cors
Brandon, MS 39047-9011
Phone (601) 467-4714

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
I20241018001552 MS Practitioner - Mental Health Counselor 8729510474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1507 Hardy St
Suite 201
Hattiesburg, MS 39401-4978
Phone (601) 336-6114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-0606MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Powerful Conversations LLC Professional CurrentSince Mar 5, 2023 Accepting new patients
Lilly Pad Home Health, LLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

1507 Hardy St
Ste 201
Hattiesburg, MS 39401
Phone (601) 336-6114

607 Corinne St
Ste C3
Hattiesburg, MS 39401
Phone (601) 336-0805

Organizations & group practices 2

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568036150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5891 U S HIGHWAY 49 STE 60-119",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022810",
            "telephone_number": "601-336-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CORINNE ST STE C3",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013852",
            "telephone_number": "601-336-0805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Millcreek Cors",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390479011",
            "country_code": "US",
            "telephone_number": "601-467-4714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWLS",
        "first_name": "CARLA",
        "middle_name": "LEE",
        "credential": "LPC, NCC, NCSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "P-0606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.