Active NPI
Brooks of Water Counseling
- Marriage & Family Therapist
- Brandon, MS
National Provider Identifier
1760762579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0378
- Legal business name
- BROOKS OF WATER COUNSELING
- Practice address
- 1700 W Government St
Suite 207
Brandon, MS 39042-2417 - Phone
- (601) 706-4021
- NPI assigned
- Aug 24, 2011
- Last updated
- Aug 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Esther T. Anglade, LMFT
- Title
- Clinical Director
- Phone
- (601) 706-4021
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0378 | MS | Primary |
Addresses
Primary practice location
1700 W Government St
Suite 207
Brandon, MS 39042-2417
Mailing address
1700 W Government St
Suite 207
Brandon, MS 39042-2417
Phone (601) 706-4021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9082699 | Other | MS | AETNA |
National Provider Directory
National Provider DirectoryLocations
1700 W Government St
Ste 207
Brandon, MS 39042
Phone (601) 706-4021
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Marriage & Family Therapist
- Brandon, MS
- NPI 1346350485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314144000000",
"number": "1760762579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W GOVERNMENT ST",
"address_2": "SUITE 207",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422417",
"telephone_number": "601-706-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W GOVERNMENT ST",
"address_2": "SUITE 207",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422417",
"telephone_number": "601-706-4021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS OF WATER COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A",
"authorized_official_last_name": "ANGLADE",
"authorized_official_first_name": "ESTHER",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "601-706-4021",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MS",
"license": "T0378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9082699",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.