Organization Active NPI

Oxford Counseling Center, LLC

  • Multi-Specialty Clinic/Center
  • Oxford, MS
National Provider Identifier
1770935595
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OXFORD COUNSELING CENTER, LLC
Practice address
304 Enterprise Dr
Oxford, MS 38655
Phone
(662) 371-1711
Fax
(844) 512-2577
NPI assigned
Jul 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Dr. Philip Baquie, PSYD LPC
Title
Owner
Phone
(662) 371-1711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2006 MS
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

304 Enterprise Dr
Oxford, MS 38655

Mailing address

304 Enterprise Dr
Oxford, MS 38655-2762
Phone (662) 371-1711

Other names 1

  • Wellness Centers USA Doing business as

National Provider Directory

National Provider Directory

Locations

304 Enterprise Dr
Oxford, MS 38655
Phone (662) 371-1711

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1770935595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ENTERPRISE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552762",
            "telephone_number": "662-371-1711",
            "fax_number": "662-371-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 ENTERPRISE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-371-1711",
            "fax_number": "844-512-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "BAQUIE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-371-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2006",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Centers USA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness Centers USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.