Mattie Butler, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P-0619 Issued in MS

Practice address

5915 Getwell Rd BLDG B
Southaven, MS 38672-6455

Phone

(662) 349-2979

Fax

(662) 349-2978

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Journey to New Beginnings, PLLC

  • Clinical Social Worker
  • Southaven, MS
  • NPI 1891959318
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1710565486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 GETWELL RD BLDG B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726455",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 GETWELL RD BLDG B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726455",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MATTIE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "P-0619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@journeytonewbeginnings.com",
            "affiliation": "Y",
            "affiliationName": "Journey To New Beginnings, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "5915 Getwell Rd Bldg B",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386726455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tara Elaine Burt, PT, DPT
• Misty Burton, FNP-C
• Kenneth Bradley Bush II, RPH
• Jahed Bushnaq, MD
• Dekimberly Butler, MSW, PCMHT
• Joseph Anthony Bynum, M.D.
• Marimichael Hill Byrd, FNP-C
• C.E. Brown Dental PLLC
• Ludmila A Cahana, APRN
• Raymond Bennett Caldwell IV, PA-C

• Professional Counselor in Southaven, MS
• Providers in Southaven, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.