Active NPI
Dawnsha Renee Mushonga, M.A.E., NCC
- Counselor
- Ridgeland, MS
National Provider Identifier
1649481508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 805 S Wheatley St
Ste. 240
Ridgeland, MS 39157-5000 - Phone
- (601) 572-3700
- Fax
- (601) 572-3701
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
805 S Wheatley St
Ste. 240
Ridgeland, MS 39157-5000
Mailing address
206 Terry Brook Dr
Terry, MS 39170-5503
Phone (601) 878-5106
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Villages, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Bartlett, TN
- NPI 1306875695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649481508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 TERRY BROOK DR",
"city": "TERRY",
"state": "MS",
"postal_code": "391705503",
"telephone_number": "601-878-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S WHEATLEY ST",
"address_2": "STE. 240",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391575000",
"telephone_number": "601-572-3700",
"fax_number": "601-572-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSHONGA",
"first_name": "DAWNSHA",
"middle_name": "RENEE",
"credential": "M.A.E., NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.