Individual provider Active NPI

Anne Elizabeth Sinclair, MSCP, LPC, NCC

  • Professional Counselor
  • Ridgeland, MS
National Provider Identifier
1720301393
Registry record updated Feb 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1507 Issued in MS
Practice address
740 Avignon Dr Ste C
Ridgeland, MS 39157-5160
Phone
(601) 707-7355
NPI assigned
Mar 10, 2010
Last updated
Feb 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1507 MS Primary

Addresses

Primary practice location

740 Avignon Dr Ste C
Ridgeland, MS 39157-5160

Mailing address

1925 Melvin Rd
Pearl, MS 39208-5619
Phone (601) 668-2229

Other practice location 1

1855 Crane Ridge Dr Ste C
Jackson, MS 39216-4944
Phone (601) 668-2229

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
1507MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinclair Counseling Services LLC Professional CurrentSince Mar 5, 2023 Accepting new patients
Grace Christian Counseling Center Professional PastSince Dec 10, 2019 Accepting new patients

Locations

1855 Crane Ridge Dr
Ste C
Jackson, MS 39216
Phone (601) 608-8949

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1720301393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 MELVIN RD",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085619",
            "telephone_number": "601-668-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 AVIGNON DR STE C",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575160",
            "telephone_number": "601-707-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Crane Ridge Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164944",
            "country_code": "US",
            "telephone_number": "601-668-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "MSCP, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.