Active NPI
Persephone Roshall Lowe, LPC, NCC
- Professional Counselor
- Olive Branch, MS
National Provider Identifier
1720413479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1717
- Practice address
- 9851 Highway 178 Ste a
Olive Branch, MS 38654-3214 - Phone
- (662) 299-4061
- Fax
- (662) 874-6809
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- 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 | 1717 | MS | Primary |
Addresses
Primary practice location
9851 Highway 178 Ste a
Olive Branch, MS 38654-3214
Mailing address
9851 Highway 178 Ste a
Olive Branch, MS 38654-3214
Phone (662) 299-4061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822571852 | Medicaid | MS |
Other names 1
- Persephone Roshall Lowe
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 |
|---|---|---|---|
| 1717 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowes Counseling Center, LLC | Current | Accepting new patients |
Locations
9851 Highway 178
#A
Olive Branch, MS 38654
Phone (662) 253-8324
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Olive Branch, MS
- NPI 1467032813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1720413479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9851 HIGHWAY 178 STE A",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386543214",
"telephone_number": "662-299-4061",
"fax_number": "662-874-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9851 HIGHWAY 178 STE A",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386543214",
"telephone_number": "662-299-4061",
"fax_number": "662-874-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWE",
"first_name": "PERSEPHONE",
"middle_name": "ROSHALL",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "822571852",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PERSEPHONE",
"last_name": "LOWE",
"middle_name": "ROSHALL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olive Branch, MS
- Lifestylz Investments LLC (Helen's Rides)
- Shawnda Liggins, MS , NCC, CMHT, LPC
- Little Clinic of Mississippi LLC
- Vivian Sze Ting Lo, D.O
- Precious Lethia Kusha Love, PSYCHIATRIC NURSE PR
- Lowes Counseling Center, LLC
- Angelica Lucas, LMSW
- Jacqueline Yvette Magee, RN
- Preslee Magee, O.D
- Magnolia Grace Care Management, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.