Active NPI
Theresa Michelle Scruggs, LPC
- Counselor
- Meridian, MS
National Provider Identifier
1922691385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2165
- Practice address
- 1441 22ND Avenue HTS
Meridian, MS 39301-6818 - Phone
- (601) 479-7574
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2165 | MS | Primary |
Addresses
Primary practice location
1441 22ND Avenue HTS
Meridian, MS 39301-6818
Mailing address
1441 22ND Avenue HTS
Meridian, MS 39301-6818
Phone (601) 479-7574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2165 | MS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1922691385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 22ND AVENUE HTS",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393016818",
"telephone_number": "601-479-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 22ND AVENUE HTS",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393016818",
"telephone_number": "601-479-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRUGGS",
"first_name": "THERESA",
"middle_name": "MICHELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "2165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.