Individual provider Active NPI

Crystal Corshe' Biggs, LMSW, PCMHT

  • Mental Health Counselor
  • Canton, MS
National Provider Identifier
1689903254
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5022 Issued in MS
Practice address
103 Southlake Cir
Canton, MS 39046-5369
Phone
(601) 859-8371
Fax
(601) 859-5433
NPI assigned
Dec 10, 2009
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW0000007841 TN
Mental Health Counselor 101YM0800X 5022 MS Primary

Addresses

Primary practice location

103 Southlake Cir
Canton, MS 39046-5369

Mailing address

PO Box 526
Canton, MS 39046-0526
Phone (601) 859-8371

Other practice location 1

2225 Deer Valley Rd
Linden, TN 37096-5479
Phone (931) 589-2502 ext. 131

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
5022MSMDMental Health Counselor
LSW0000007841TNMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1689903254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460526",
            "telephone_number": "601-859-8371",
            "fax_number": "601-859-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOUTHLAKE CIR",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465369",
            "telephone_number": "601-859-8371",
            "fax_number": "601-859-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Deer Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "TN",
            "postal_code": "370965479",
            "country_code": "US",
            "telephone_number": "931-589-2502 x131",
            "fax_number": "931-589-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGGS",
        "first_name": "CRYSTAL",
        "middle_name": "CORSHE'",
        "name_prefix": "Ms.",
        "credential": "LMSW, PCMHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000007841",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "5022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.