Individual provider Active NPI

William Kenneth Sansing Jr., PHD

  • Counselor
  • Starkville, MS
National Provider Identifier
1932589330
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
100 Starr Ave Ste K
Starkville, MS 39759-4032
Phone
(662) 340-5947
Fax
(662) 200-5960
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

100 Starr Ave Ste K
Starkville, MS 39759-4032

Mailing address

309 East Lampkin Street
Starkville, MS 39759
Phone (662) 617-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319000597 MS Practitioner - Mental Health Counselor 7517304108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resilient Life Counseling ServicesGroup PAC ID 6709223399, 2 clinicians

Practice addresses (Care Compare)

1014 N Jackson St
Suite F
Starkville, MS 39759-2211
Phone (662) 620-1468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Life Counseling Services CurrentSince Jan 13, 2024 Accepting new patients
Starkville Wellness Group CurrentSince Aug 28, 2021 Accepting new patients

Locations

100 Starr Ave
Ste K
Starkville, MS 39759
Phone (662) 340-5947

1014 N Jackson St
Ste F
Starkville, MS 39759
Phone (662) 497-2049

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1932589330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 EAST LAMPKIN STREET",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-617-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STARR AVE STE K",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594032",
            "telephone_number": "662-340-5947",
            "fax_number": "662-200-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSING",
        "first_name": "WILLIAM",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.