Organization Active NPI

Dea Dean LPC, LLC

  • Mental Health Counselor
  • Ridgeland, MS
National Provider Identifier
1902392574
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1986 Issued in MS
Legal business name
DEA DEAN LPC, LLC
Practice address
206 W Jackson St Ste 100
Ridgeland, MS 39157-2310
Phone
(769) 300-1443
Fax
(769) 208-4477
NPI assigned
Jul 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

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

Authorized official

Name
Mrs. Dea Dixon Dean, LPC, LMFT
Title
Owner/President
Phone
(769) 300-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 1986 MS Primary

Addresses

Primary practice location

206 W Jackson St Ste 100
Ridgeland, MS 39157-2310

Mailing address

206 W Jackson St Ste 100
Ridgeland, MS 39157-2310
Phone (769) 300-1443

Other names 1

  • Counseling Collective Doing business as

National Provider Directory

National Provider Directory

Locations

206 W Jackson St
Ste 100
Ridgeland, MS 39157
Phone (769) 300-1443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530921600000",
    "number": "1902392574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W JACKSON ST STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572310",
            "telephone_number": "769-300-1443",
            "fax_number": "769-208-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W JACKSON ST STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572310",
            "telephone_number": "769-300-1443",
            "fax_number": "769-208-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEA DEAN LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-07-07",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "DEA",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "769-300-1443",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; 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.