Active NPI
Rankin Baptist Association
- Professional Counselor
- Pearl, MS
National Provider Identifier
1669759882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 373
- 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 ASSOCIATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
National Provider Directory
National Provider Directory- Tax ID family
- Rankin Baptist Association
- 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.
-
- Counselor
- Pearl, MS
- NPI 1114962560
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.
-
- Counselor
- Pearl, MS
- NPI 1114962560
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Ridgeland, MS
- NPI 1891109195
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.