Active NPI
Lauren Elizabeth Powell, LPC
- Professional Counselor
- Ridgeland, MS
National Provider Identifier
1609558261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2372
- Practice address
- 210 W Jackson St
Ridgeland, MS 39157-2312 - Phone
- (769) 231-9414
- Fax
- (601) 707-7291
- NPI assigned
- Aug 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 2372 | MS | Primary |
Addresses
Primary practice location
210 W Jackson St
Ridgeland, MS 39157-2312
Mailing address
210 W Jackson St
Ridgeland, MS 39157-2312
Phone (769) 231-9414
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119004821 | MS | Practitioner - Mental Health Counselor | 1850826488 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Killebrew Psychological Services LLC
Practice addresses (Care Compare)
210 W Jackson St
Ridgeland, MS 39157-2312
Phone (769) 231-9414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Killebrew Psychological Services, LLC | Current | Accepting new patients |
Locations
210 W Jackson St
Ridgeland, MS 39157
Phone (601) 672-3841
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1609558261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W JACKSON ST",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572312",
"telephone_number": "769-231-9414",
"fax_number": "601-707-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W JACKSON ST",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572312",
"telephone_number": "769-231-9414",
"fax_number": "601-707-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-03",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.