Danielle Pugh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

903630 Issued in MS

Practice address

208 Key Dr Ste C
Madison, MS 39110-7378

Phone

(601) 760-2050

Fax

(601) 207-7707

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Mississippi School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vitality CounselingGroup PAC ID 3577954650, 3 clinicians

Hopecrest Mental Health Services LLCGroup PAC ID 3870001951, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hopecrest Mental Health Services, LLC

  • Psychiatry Physician
  • Decatur, MS
  • NPI 1992513733
  Medicare reassignment Care Compare group NPD
• Vitality Counseling

  • Professional Counselor
  • Madison, MS
  • NPI 1154904035
  Medicare reassignment Care Compare group NPD
• Positive Innergy Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, MS
  • NPI 1003432626
  Medicare reassignment NPD
• Vibrant Minds, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton, MS
  • NPI 1073332482
  NPD Authorized official

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1639718455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 KEY DR STE C",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107378",
            "telephone_number": "601-357-1821",
            "fax_number": "601-207-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 KEY DR STE C",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107378",
            "telephone_number": "601-760-2050",
            "fax_number": "601-207-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004972",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903630",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639718455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Process Counseling & Wellness
• Bobby E Proctor, M.D.
• Professional Therapy Solutions, LLC
• Vicki Louise Prosser, PH.D
• Haley Puckett, PT
• Ashley Burleson Pullen, M.D.
• Pure Health Therapy Services, LLC
• Purpose of Hearts Ministries
• Quad Intermed Company LLC
• Quad Intermed Company LLC

• Psychiatric/Mental Health Nurse Practitioner in Madison, MS
• Providers in Madison, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.

Verify at the official NPI Registry.