Individual provider Active NPI

Ruchelle Showers

  • Mental Health Counselor
  • Mendenhall, MS
National Provider Identifier
1730760190
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3087 Simpson Highway 13
Mendenhall, MS 39114-3077
Phone
(601) 847-4410
Fax
(601) 847-7634
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

3087 Simpson Highway 13
Mendenhall, MS 39114-3077

Mailing address

PO Box 578
Mendenhall, MS 39114-0578
Phone (601) 847-4410

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2021.

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1730760190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391140578",
            "telephone_number": "601-847-4410",
            "fax_number": "601-847-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 SIMPSON HIGHWAY 13",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143077",
            "telephone_number": "601-847-4410",
            "fax_number": "601-847-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWERS",
        "first_name": "RUCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendenhall, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.