Organization Active NPI

Rankin Baptist Association

  • Professional Counselor
  • Pearl, MS
National Provider Identifier
1669759882
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
373 Issued in MS
Legal business name
RANKIN BAPTIST ASSOCIATION
Practice address
5611 Highway 80 E.
Pearl, MS 39208
Phone
(601) 939-6634
Fax
(601) 420-9252
NPI assigned
Nov 16, 2011
Organization subpart
Yes
Parent organization
RANKIN BAPTIST ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Perry Sanderford, PH.D.
Title
Director
Phone
(601) 939-6634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 373 MS Primary

Addresses

Primary practice location

5611 Highway 80 E.
Pearl, MS 39208

Mailing address

PO Box 413
Brandon, MS 39043-0413
Phone (601) 939-6634

Other names 1

  • Crossroads Counseling Center Ridgeland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rankin Baptist Association2 organizations share this tax ID, including this one
Part of
Rankin Baptist Association

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1669759882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390430413",
            "telephone_number": "601-939-6634",
            "fax_number": "601-420-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 HIGHWAY 80 E.",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "39208",
            "telephone_number": "601-939-6634",
            "fax_number": "601-420-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANKIN BAPTIST ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANKIN BAPTIST ASSOCIATION",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "SANDERFORD",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-939-6634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Counseling Center Ridgeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.