Live Oak Psychological Associtaes

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIVE OAK PSYCHOLOGICAL ASSOCITAES

Practice address

1151 N State St
Ste 212
Jackson, MS 39202-2407

Phone

(601) 352-7398

Fax

(601) 352-0442

NPI assigned

Sep 22, 2007

Last updated

Sep 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Halderman Dieth

Title

Office Manager

Phone

(601) 352-7398

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Henry Brown Jr., PSY.D.

  • Clinical Psychologist
  • Jackson, MS
  • NPI 1346374410
  Medicare reassignment NPD
• Susan Vickery Herring, LPC

  • Professional Counselor
  • Jackson, MS
  • NPI 1245873595
  NPD
• Abigail Miller, LPC

  • Mental Health Counselor
  • Jackson, MS
  • NPI 1285344812
  NPD
• Michael Garret Shumaker, PSY.D.

  • Psychologist
  • Jackson, MS
  • NPI 1053729285
  NPD
• Evan Applegate

  • Professional Counselor
  • Jackson, MS
  • NPI 1942869557
  NPD (past)
• Anna Michelle Buckner, LPC

  • Professional Counselor
  • Jackson, MS
  • NPI 1851883565
  NPD (past)
• John L. Cox, PSY.C.

  • Clinical Psychologist
  • Jackson, MS
  • NPI 1871627968
  NPD (past)
• Cooper Bufkin Moore, PSY.D.

  • Clinical Psychologist
  • Jackson, MS
  • NPI 1710011150
  NPD (past)
• Naomi Fortune Muffuletto

  • Marriage & Family Therapist
  • Jackson, MS
  • NPI 1043734080
  NPD (past)
• Eric Welsh, PH.D.

  • Clinical Psychologist
  • Ridgeland, MS
  • NPI 1902032089
  NPD (past)

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190419200000",
    "number": "1750577805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST",
            "address_2": "STE 212",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022407",
            "telephone_number": "601-352-7398",
            "fax_number": "601-352-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST",
            "address_2": "STE 212",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022407",
            "telephone_number": "601-352-7398",
            "fax_number": "601-352-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK PSYCHOLOGICAL ASSOCITAES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2007-09-22",
        "status": "A",
        "authorized_official_last_name": "DIETH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "HALDERMAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-352-7398",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Little, NP
• Sheri Little, MS CCC-SLP
• James Blake Littlejohn, MD
• Huiling Liu, MD
• Langfeier Liu
• Live Oaks Counseling and Consulting, LLC
• Living in Full Excellence
• Living Independence for Everyone of Mississippi (LIFE of Mississippi)
• Ladean Johnson Livingston Davis, CRNA
• Darrell Rex Livingston Jr., DMD

• Clinical Psychologist in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.