Dorothy Jeffries Anderson, ED.D, NCC, LMHC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

266 Issued in MS

Practice address

18 Marina CV
Ridgeland, MS 39157-9000

Phone

(253) 576-2994

NPI assigned

May 6, 2015

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dorothy.anderson.p1@direct.magnoliamedical.nextgenshare.com

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.

• PSP Medical Clinic

  dba Gluckstadt Family Clinic

  • Primary Care Clinic/Center
  • Gluckstadt, MS
  • NPI 1245581370
  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1831576180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MARINA CV",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579000",
            "telephone_number": "253-576-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARINA CV",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579000",
            "telephone_number": "253-576-2994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942651",
            "country_code": "US",
            "telephone_number": "662-746-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1082 Gluckstadt Rd",
            "address_purpose": "LOCATION",
            "city": "Gluckstadt",
            "state": "MS",
            "postal_code": "391107243",
            "country_code": "US",
            "telephone_number": "601-707-5621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1171 Hart St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390464805",
            "country_code": "US",
            "telephone_number": "601-859-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2629 Courthouse Cir",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329521",
            "country_code": "US",
            "telephone_number": "601-420-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DOROTHY",
        "middle_name": "JEFFRIES",
        "credential": "ED.D, NCC, LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "266",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Psych Associates, Inc.
• American Psych Associates, Inc. (Tri-County Community Mental Health)
• American Sleep Associates, Inc (International Center of Sleep Medicine)
• Gitanjali Anbalagan
• Anchoring Hearts Healthcare LLC
• Kathryn Anderson, OT
• Natylon Nicole Anderson, OTR/L
• Sharhonda Michelle Anderson, NP
• Ariel Catheryne Anderton
• Rachel Thomas Anderton, CCC-SLP

• Professional Counselor in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.