Lighted Pathways Counseling Service

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1210 Issued in MS

Legal business name

LIGHTED PATHWAYS COUNSELING SERVICE

Practice address

2080 Dunbarton Dr Ste 1
Jackson, MS 39216-5016

Phone

(601) 982-0948

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Shunta Coleman, LPC

Title

Partner/ Manager

Phone

(601) 982-0948

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1881067635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 DUNBARTON DR STE 1",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165016",
            "telephone_number": "601-982-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 DUNBARTON DR STE 1",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165016",
            "telephone_number": "601-982-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTED PATHWAYS COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SHUNTA",
        "authorized_official_title_or_position": "PARTNER/ MANAGER",
        "authorized_official_telephone_number": "601-982-0948",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.