Organization Active NPI

Masterpiece Counseling and Health Services, PLLC

  • Mental Health Counselor
  • Olive Branch, MS
National Provider Identifier
1811565625
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MASTERPIECE COUNSELING AND HEALTH SERVICES, PLLC
Practice address
6943 Oak Forest Dr Ste B
Olive Branch, MS 38654-1976
Phone
(662) 804-9140
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Carisha C Williams, LPCNPI 1619225729
Title
Counselor
Phone
(662) 874-6921

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6943 Oak Forest Dr Ste B
Olive Branch, MS 38654-1976

Mailing address

6943 Oak Forest Dr Ste B
Olive Branch, MS 38654-1976
Phone (662) 874-6921

National Provider Directory

National Provider Directory

Locations

6943 Oak Forest Dr
Ste B
Olive Branch, MS 38654
Phone (662) 804-9140

6952 Dogwood Mnr N
Ste 103
Olive Branch, MS 38654
Phone (662) 874-6921

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1811565625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6943 OAK FOREST DR STE B",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541976",
            "telephone_number": "662-874-6921",
            "fax_number": "662-932-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6943 OAK FOREST DR STE B",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541976",
            "telephone_number": "662-804-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPIECE COUNSELING AND HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "662-874-6921",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.