Kidzplay Community

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KIDZPLAY COMMUNITY

Practice address

1010 Monroe St
Vicksburg, MS 39183-2552

Phone

(910) 853-2184

NPI assigned

Feb 15, 2018

Last updated

Feb 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Latasha Bethea

Title

Owner

Phone

(910) 853-2184

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1629578729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MONROE ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832552",
            "telephone_number": "910-853-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MONROE ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832552",
            "telephone_number": "910-853-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZPLAY COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-853-2184",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeping Focus LLC.
• Logan Kelley, PHARM. D
• Madelyn Grace Kelly
• Rhonda Kemp, FNP
• Timothy P Kerut, MD
• Freda Jemutai Kigen, PMHNP-BC
• Deborah Davis Kilgo, CCC-SLP
• Michael Edward Killen, CRNA
• Kimberly Renee Kilpatrick, CFNP
• Kim Kilpatrick NP LLC

• Mental Health Counselor in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.