Active NPI
Susanne Sturdivant Still, LPC
- Professional Counselor
- Ridgeland, MS
National Provider Identifier
1679042634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2331
- Practice address
- 206 W Jackson St Ste 100
Ridgeland, MS 39157-2310 - Phone
- (769) 300-1443
- Fax
- (769) 208-4477
- NPI assigned
- Nov 20, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2331 | MS | Primary |
Addresses
Primary practice location
206 W Jackson St Ste 100
Ridgeland, MS 39157-2310
Mailing address
206 W Jackson St Ste 100
Ridgeland, MS 39157-2310
Phone (769) 300-1443
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2331 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dea Dean LPC, LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1679042634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W JACKSON ST STE 100",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572310",
"telephone_number": "769-300-1443",
"fax_number": "769-208-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W JACKSON ST STE 100",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572310",
"telephone_number": "769-300-1443",
"fax_number": "769-208-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILL",
"first_name": "SUSANNE",
"middle_name": "STURDIVANT",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2331",
"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 Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.