Individual provider Active NPI

Elizabeth R Reeves, M.S.,L.P.C.,LMFT

  • Professional Counselor
  • Ridgeland, MS
National Provider Identifier
1801965215
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0609 Issued in MS
Practice address
405 Fontaine PL
Suite 101
Ridgeland, MS 39157-5228
Phone
(601) 956-1992
Fax
(601) 956-9935
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0609 MS Primary

Addresses

Primary practice location

405 Fontaine PL
Suite 101
Ridgeland, MS 39157-5228

Mailing address

405 Fontaine PL
Suite 101
Ridgeland, MS 39157-5228
Phone (601) 956-1992

Other identifiers 2

IdentifierTypeStateIssuer
0609OtherMSLPC LICENSE
T0093OtherMSLMFT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0609MSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801965215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FONTAINE PL",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575228",
            "telephone_number": "601-956-1992",
            "fax_number": "601-956-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FONTAINE PL",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575228",
            "telephone_number": "601-956-1992",
            "fax_number": "601-956-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.S.,L.P.C.,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "0609",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE",
            "identifier": "T0093",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.