NPIMap

Organization Active NPI

Keystone Counseling, PLLC

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1871994368
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1544 Issued in MS
Legal business name
KEYSTONE COUNSELING, PLLC
Practice address
1755 Lelia Dr
Suite 105
Jackson, MS 39216-4828
Phone
(601) 790-0749
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
James L Roberson III, LPC
Title
Owner
Phone
(601) 919-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1544 MS Primary

Addresses

Primary practice location

1755 Lelia Dr
Suite 105
Jackson, MS 39216-4828

Mailing address

1755 Lelia Dr
Suite 105
Jackson, MS 39216-4828
Phone (601) 790-0749

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1871994368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 LELIA DR",
            "address_2": "SUITE 105",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164828",
            "telephone_number": "601-790-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 LELIA DR",
            "address_2": "SUITE 105",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164828",
            "telephone_number": "601-790-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-919-7578",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.