PBR Counseling Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PBR COUNSELING CENTER, LLC

Practice address

201 Fulton St
Greenwood, MS 38930-4324

Phone

(662) 644-5111

Fax

(662) 590-0263

NPI assigned

May 13, 2019

Last updated

May 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Busby-RobinsonNPI 1003242264

Title

Chief Executive Officer

Phone

(662) 299-7336

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Busby-Robinson, NCC, LPC

  • Professional Counselor
  • Greenwood, MS
  • NPI 1003242264
  NPD Authorized official

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558742400000",
    "number": "1689230807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FULTON ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FULTON ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304324",
            "telephone_number": "662-644-5111",
            "fax_number": "662-590-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBR COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-25",
        "status": "A",
        "authorized_official_last_name": "BUSBY-ROBINSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "662-299-7336"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Mekenna-Reed Parker
• Bailee Parker
• Emily C Patridge, MMFT, LMFT
• Dominique Alexis Patterson
• Latasha Paynes
• Bobbie Peoples, AT
• Krystal A Perez, NP
• Gwendolyn Pernell
• Tammy Pernell, PCMHT
• Lacharity Perry, RN

• Community/Behavioral Health Agency in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; 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.