Individual provider Active NPI

Jonathan Dunlap, DPC, LPC-S, BC-TMH

  • Professional Counselor
  • Flowood, MS
National Provider Identifier
1598998486
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1560 Issued in MS
Practice address
10 Canebrake Blvd Ste 110-038
Flowood, MS 39232-2211
Phone
(601) 613-2079
Fax
(601) 429-9469
NPI assigned
Aug 26, 2009
Last updated
Aug 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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 1560 MS Primary

Addresses

Primary practice location

10 Canebrake Blvd Ste 110-038
Flowood, MS 39232-2211

Mailing address

147 Links Dr Apt 29a
Canton, MS 39046-5288
Phone (601) 613-2079

Other practice location 1

4500 I 55 N
Suite 216
Jackson, MS 39211-5930
Phone (601) 613-2079

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1598998486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 LINKS DR APT 29A",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465288",
            "telephone_number": "601-613-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CANEBRAKE BLVD STE 110-038",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392322211",
            "telephone_number": "601-613-2079",
            "fax_number": "601-429-9469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 I 55 N",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392115930",
            "country_code": "US",
            "telephone_number": "601-613-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "JONATHAN",
        "credential": "DPC, LPC-S, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.