Progressive Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1825 Issued in MS

Legal business name

PROGRESSIVE COUNSELING SERVICES

Practice address

4795 McWillie Dr Ste 215
Jackson, MS 39206-5628

Phone

(601) 624-1524

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Vernetta Lesia Bolden

Title

Counselor

Phone

(601) 624-1524

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1609249366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 MCWILLIE DR STE 215",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065628",
            "telephone_number": "601-624-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 MCWILLIE DR STE 215",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065628",
            "telephone_number": "601-624-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "VERNETTA",
        "authorized_official_middle_name": "LESIA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "601-624-1524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.