Organization Active NPI

Magnolia Counseling

  • Specialist
  • Batesville, MS
National Provider Identifier
1891919668
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MAGNOLIA COUNSELING
Practice address
590 Highway 6 E
Batesville, MS 38606-3002
Phone
(662) 563-8703
Fax
(662) 563-9500
NPI assigned
Apr 12, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Cheryl Gray
Title
Office Manager
Phone
(662) 563-8703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

590 Highway 6 E
Batesville, MS 38606-3002

Mailing address

590 Highway 6 E
Batesville, MS 38606-3002
Phone (662) 563-8703

Other identifiers 1

IdentifierTypeStateIssuer
09014911MedicaidMS

National Provider Directory

National Provider Directory

Locations

590 Highway 6 E
Batesville, MS 38606
Phone (662) 563-8703

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1891919668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 HIGHWAY 6 E",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386063002",
            "telephone_number": "662-563-8703",
            "fax_number": "662-563-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 HIGHWAY 6 E",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386063002",
            "telephone_number": "662-563-8703",
            "fax_number": "662-563-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-563-8703"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014911",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.