Active NPI
Roane Hunter Sr., LPC
- Professional Counselor
- Madison, MS
National Provider Identifier
1710396205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1897
- Practice address
- 940 Ebenezer Blvd
Madison, MS 39110-6002 - Phone
- (601) 790-0583
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 1897 | MS | Primary |
Addresses
Primary practice location
940 Ebenezer Blvd
Madison, MS 39110-6002
Mailing address
PO Box 4005
Madison, MS 39130-4005
Phone (601) 790-0583
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 |
|---|---|---|---|
| 1897 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks Counseling | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Madison, MS
- NPI 1124471412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1710396205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4005",
"city": "MADISON",
"state": "MS",
"postal_code": "391304005",
"telephone_number": "601-790-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 EBENEZER BLVD",
"city": "MADISON",
"state": "MS",
"postal_code": "391106002",
"telephone_number": "601-790-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "ROANE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.