McWillie Counseling & Diagnostic Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

00281 Issued in MS

Legal business name

MCWILLIE COUNSELING & DIAGNOSTIC SERVICES

Practice address

5202 Keele St Ste 1
Jackson, MS 39206-4355

Phone

(601) 982-8624

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Delilah J. Moore, LCPC

Title

Clinical Director

Phone

(601) 982-8624

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delilah J Jackson Moore, LICENSED COUNSELOR

  • Mental Health Counselor
  • Jackson, MS
  • NPI 1336313881
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1780852194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 KEELE STREET, SUITE 1",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-982-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 KEELE ST STE 1",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064355",
            "telephone_number": "601-982-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCWILLIE COUNSELING & DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DELILAH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "601-982-8624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": "00281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice McShan, M.D.
• James McVeay
• Eric Alexander McVey III, M.D.
• John H McVey, M.D.
• Latiah Smith McWilliams, FNP-C
• MD Billing, LLC
• Mea Primary Care Plus LLC
• Mea Primary Care Plus LLC
• Kanisha L Meaders, FNP
• Alexis Catherine Meadors

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.