Viner Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0563 Issued in MS

Legal business name

VINER COUNSELING CENTER

Practice address

501 Southwest Frontage Rd
Grenada, MS 38901

Phone

(662) 226-3762

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Russell Shane Viner, L.P.C.NPI 1821360603

Title

Ceo

Phone

(662) 226-3762

Specialties & licenses 1

Addresses

Practitioners 1

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

• Russell Shane Viner, L.P.C.

  • Professional Counselor
  • Grenada, MS
  • NPI 1821360603
  NPD (past) Authorized official

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1841484490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389021251",
            "telephone_number": "662-226-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTHWEST FRONTAGE RD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-226-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINER COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "VINER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-226-3762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "0563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Pamela Upchurch, FNP
• Olivia McDaniel Van Gordon
• Michelle Vanhorn, RPH
• Vascular and Vein Institute of the South, PLLC
• Jeremy Villalobos
• Russell Shane Viner, L.P.C.
• W. Boyd Massey, M.D., P.a.
• Tarence E Wade, MD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Community/Behavioral Health Agency in Grenada, MS
• Providers in Grenada, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.