Individual provider Active NPI

Thomas Shoffner, LPC

  • Counselor
  • Philadelphia, MS
National Provider Identifier
1770050015
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2448 Issued in MS
Practice address
14741 Highway 16 W
Philadelphia, MS 39350-6755
Phone
(601) 389-8284
Fax
(601) 781-4233
NPI assigned
Oct 24, 2018
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2448 MS Primary

Addresses

Primary practice location

14741 Highway 16 W
Philadelphia, MS 39350-6755

Mailing address

PO Box 471
Philadelphia, MS 39350-0471
Phone (601) 389-8284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417001274 MS Practitioner - Mental Health Counselor 5799132551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

271 W Beacon St
Philadelphia, MS 39350-3152
Phone (601) 389-8248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2448MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Hope Counseling Services Counselor CurrentSince Oct 26, 2023 Accepting new patients
T.W. Ponessa & Associates Counseling Services, Inc. Past Accepting new patients
T. W. Ponessa and Associates Counseling Past Accepting new patients

Locations

271 W Beacon St
Philadelphia, MS 39350
Phone (601) 389-8248

Organizations & group practices 3

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1770050015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393500471",
            "telephone_number": "601-389-8284",
            "fax_number": "601-300-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14741 HIGHWAY 16 W",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393506755",
            "telephone_number": "601-389-8284",
            "fax_number": "601-781-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFFNER",
        "first_name": "THOMAS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.