Active NPI
Brenda Joyce Monroe, LPC
- Professional Counselor
- Gulfport, MS
National Provider Identifier
1588988448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1003
- Practice address
- 12231A Ashley Dr
Gulfport, MS 39503-2775 - Phone
- (228) 832-2400
- Fax
- (228) 832-2431
- NPI assigned
- Mar 22, 2010
- Last updated
- Mar 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1003 | MS | Primary |
Addresses
Primary practice location
12231A Ashley Dr
Gulfport, MS 39503-2775
Mailing address
12231A Ashley Dr
Gulfport, MS 39503-2775
Phone (228) 832-2400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1003 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Psychotherapy | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Gulfport, MS
- NPI 1417147398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1588988448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12231A ASHLEY DR",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395032775",
"telephone_number": "228-832-2400",
"fax_number": "228-832-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12231A ASHLEY DR",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395032775",
"telephone_number": "228-832-2400",
"fax_number": "228-832-2431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "BRENDA",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.