Mississippi Counseling Associates

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2099 Issued in MS

Legal business name

MISSISSIPPI COUNSELING ASSOCIATES

Practice address

4500 I 55 Frontage Rd N Ste 241
Jackson, MS 39211-5983

Phone

(321) 480-5000

NPI assigned

Aug 14, 2016

Last updated

Nov 5, 2018By 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

Mr. Michael Preston, LPCNPI 1336658756

Title

Owner

Phone

(321) 480-5000

Specialties & licenses 1

Addresses

Other names 1

• Jackson Family Counseling Former legal business name

Locations

Practitioners 2

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.

• Michael Preston, LPC

  • Professional Counselor
  • Madison, MS
  • NPI 1336658756
  Authorized official Same address or phone
• Louise Adams, MA, PLPC

  • Mental Health Counselor
  • Greenwood, MS
  • NPI 1154965382
  NPD (past)

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1700330156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 I 55 FRONTAGE RD N STE 241",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115983",
            "telephone_number": "321-480-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 I 55 FRONTAGE RD N STE 241",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115983",
            "telephone_number": "321-480-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393015018",
            "country_code": "US",
            "telephone_number": "321-480-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSISSIPPI COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-14",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-480-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "2099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Family Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mississippi Counseling Center
• Mississippi Counseling Center,Corp
• Mississippi CVS Pharmacy LLC (CVS Pharmacy #16230)
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 05745)
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• Community/Behavioral Health Agency in Jackson, MS
• Providers in Jackson, 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 Nov 5, 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.

Verify at the official NPI Registry.