Individual provider Active NPI

Adrian Barclay Owen

  • Professional Counselor
  • Corinth, MS
National Provider Identifier
1669718680
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1909 Issued in MS
Practice address
301 S Cass St
Corinth, MS 38834-6109
Phone
(662) 286-9860
Fax
(662) 286-8508
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 1909 MS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CA0161 MS

Addresses

Primary practice location

301 S Cass St
Corinth, MS 38834-6109

Mailing address

PO Box 839
Corinth, MS 38835-0839
Phone (662) 286-9883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, DC, OH, MS, MD, NE6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20241114004370 KS Practitioner - Mental Health Counselor 9234663048 Reassigns benefits to 1 organization
I20241119004784 DC Practitioner - Mental Health Counselor 9234663048 Reassigns benefits to 1 organization
I20241203001642 OH Practitioner - Mental Health Counselor 9234663048 Reassigns benefits to 1 organization
I20250519001682 MS Practitioner - Mental Health Counselor 9234663048 Reassigns benefits to 2 organizations
I20250519002068 MD Practitioner - Mental Health Counselor 9234663048 Reassigns benefits to 1 organization
I20250527002344 NE Practitioner - Mental Health Counselor 9234663048 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA0161MSMDAddiction (Substance Use Disorder) Counselor
1909MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince May 2, 2025 Accepting new patients

Locations

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

14301 Fnb Pkwy
Ste 100
Omaha, NE 68154
Phone (402) 706-6894

Organizations & group practices 3

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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1669718680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350839",
            "telephone_number": "662-286-9883",
            "fax_number": "662-286-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CASS ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346109",
            "telephone_number": "662-286-9860",
            "fax_number": "662-286-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "ADRIAN",
        "middle_name": "BARCLAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1909",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "CA0161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.