Organization Active NPI

Practical Solutions Counseling & Consulting, PLLC

  • Clinical Social Worker
  • Gulfport, MS
National Provider Identifier
1851821623
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRACTICAL SOLUTIONS COUNSELING & CONSULTING, PLLC
Practice address
2059 E Pass Rd Ste 4
Gulfport, MS 39507-3761
Phone
(228) 314-3626
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Jan Michele Van Choff, LCSW
Title
Owner/ Provider
Phone
(228) 314-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2059 E Pass Rd Ste 4
Gulfport, MS 39507-3761

Mailing address

15520 Daniel Blvd Ste E
Gulfport, MS 39503-4744
Phone (228) 314-3626

Other identifiers 1

IdentifierTypeStateIssuer
01378584MedicaidMS

National Provider Directory

National Provider Directory

Locations

15520 Daniel Blvd
Ste E
Gulfport, MS 39503

2059 E Pass Rd
Ste 4
Gulfport, MS 39507
Phone (228) 314-3626

15465 Oak Ln
Ste 100G
Gulfport, MS 39503
Phone (228) 314-3626

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1851821623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 DANIEL BLVD STE E",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034744",
            "telephone_number": "228-314-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 E PASS RD STE 4",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073761",
            "telephone_number": "228-314-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL SOLUTIONS COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "VAN CHOFF",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "228-314-3626",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01378584",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.