Active NPI
Black Sheep Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tupelo, MS
National Provider Identifier
1891412151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BLACK SHEEP COUNSELING, LLC
- Practice address
- 302 S Spring St Ste 9
Tupelo, MS 38804-4853 - Phone
- (662) 523-3315
- NPI assigned
- Oct 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooklyn Michelle Sellers, M.ED., LPC, BC-TMH
- Title
- Licensed Professional Counselor
- Phone
- (662) 523-3315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
302 S Spring St Ste 9
Tupelo, MS 38804-4853
Mailing address
642 Allen St
Tupelo, MS 38804-3741
Phone (662) 523-3315
National Provider Directory
National Provider DirectoryLocations
302 S Spring St
Ste 9
Tupelo, MS 38804
Phone (662) 523-3315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666742400000",
"number": "1891412151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 ALLEN ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388043741",
"telephone_number": "662-523-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S SPRING ST STE 9",
"city": "TUPELO",
"state": "MS",
"postal_code": "388044853",
"telephone_number": "662-523-3315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK SHEEP COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A",
"authorized_official_last_name": "SELLERS",
"authorized_official_first_name": "BROOKLYN",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "662-523-3315",
"authorized_official_credential": "M.ED., LPC, BC-TMH"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.