Active NPI
Valerie Michelle Mitchell, LMSW
- Professional Counselor
- Kosciusko, MS
National Provider Identifier
1700966272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- M6205
- Practice address
- 332 Highway 12 W
Kosciusko, MS 39090-3209 - Phone
- (662) 289-1800
- Fax
- (662) 289-9770
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | M6205 | MS | Primary |
Addresses
Primary practice location
332 Highway 12 W
Kosciusko, MS 39090-3209
Mailing address
118 Geeslin Road
Lot 5
Grenada, MS 38901
Phone (662) 289-1800
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
| License | State | Type | Specialty |
|---|---|---|---|
| M6205 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700966272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 GEESLIN ROAD",
"address_2": "LOT 5",
"city": "GRENADA",
"state": "MS",
"postal_code": "38901",
"telephone_number": "662-289-1800",
"fax_number": "662-289-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 HIGHWAY 12 W",
"city": "KOSCIUSKO",
"state": "MS",
"postal_code": "390903209",
"telephone_number": "662-289-1800",
"fax_number": "662-289-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "VALERIE",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "M6205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kosciusko, MS
- Philip Adam Middleton, DMD
- Jenni Kate Miles, MD
- Mississippi CVS Pharmacy, L.L.C.
- Mississippi Ear Nose and Throat Surgical Associates
- Mississippi State Department of Health
- Montfort Jones Memorial Hospital
- Montfort Jones Memorial Hospital
- Montfort Jones Memorial Hospital
- Montfort Jones Memorial Hospital
- Montfort Jones Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.