NPIMap

Individual provider Active NPI

Noreen Rose Waithaka, CMHT, LPC

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1679865448
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1546 Issued in MS
Practice address
200 N Congress St
Suite 100
Jackson, MS 39201-1902
Phone
(601) 326-3717
Fax
(601) 326-3754
NPI assigned
May 11, 2011
Last updated
May 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1546 MS Primary

Addresses

Primary practice location

200 N Congress St
Suite 100
Jackson, MS 39201-1902

Mailing address

200 N Congress St
Suite 100
Jackson, MS 39201-1902
Phone (601) 326-3717

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

LicenseStateTypeSpecialty
1546MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1679865448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CONGRESS ST",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392011902",
            "telephone_number": "601-326-3717",
            "fax_number": "601-326-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CONGRESS ST",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392011902",
            "telephone_number": "601-326-3717",
            "fax_number": "601-326-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITHAKA",
        "first_name": "NOREEN",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "CMHT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.