Maegan Leigh Johnston Tatum, PH.D., LPC-S, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2152 Issued in MS

Practice address

507 Heritage Dr Ste 102
Oxford, MS 38655-5571

Phone

(662) 506-2059

NPI assigned

Aug 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1932575289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COUNTY ROAD 325",
            "city": "TAYLOR",
            "state": "MS",
            "postal_code": "386734535",
            "telephone_number": "662-801-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HERITAGE DR STE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555571",
            "telephone_number": "662-506-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Ricky D Britt SR Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "38655",
            "country_code": "US",
            "telephone_number": "662-801-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Private Road 3057 Apt 4",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555563",
            "country_code": "US",
            "telephone_number": "662-801-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON TATUM",
        "first_name": "MAEGAN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romanda Katrice Johnson, MA
• Russell Talmage Johnson, ATC
• Shannon Marie Johnson, LPN
• Xakylan Johnson, MSW
• Zachary Joseph Johnson, MSW
• Alaina Crystine Johnston, B.A.
• Jonathan H Massey MD PC
• Alexis Renee Jones, BA
• Allison Raeann Jones, MSW
• Ashayla Jones, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.