NPIMap

Organization Active NPI

The Shepherd'S Staff

  • Counselor
  • Flowood, MS
National Provider Identifier
1679768287
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THE SHEPHERD'S STAFF
Practice address
2508 Lakeland Dr
Suite 200
Flowood, MS 39232-9502
Phone
(601) 664-0455
Fax
(601) 664-1675
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Ruth L Glaze
Title
VP
Phone
(601) 664-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X MS Primary

Addresses

Primary practice location

2508 Lakeland Dr
Suite 200
Flowood, MS 39232-9502

Mailing address

2508 Lakeland Dr
Suite 200
Flowood, MS 39232-9502
Phone (601) 664-0455

National Provider Directory

National Provider Directory

Locations

2508 Lakeland Dr
#200
Flowood, MS 39232
Phone (601) 664-0455

Practitioners & affiliated clinicians

Practitioners 8

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679768287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 LAKELAND DR",
            "address_2": "SUITE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329502",
            "telephone_number": "601-664-0455",
            "fax_number": "601-664-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 LAKELAND DR",
            "address_2": "SUITE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329502",
            "telephone_number": "601-664-0455",
            "fax_number": "601-664-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHEPHERD'S STAFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLAZE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "601-664-0455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.