Active NPI
Emotionally Available Counseling
- Adolescent and Children Mental Health Clinic/Center
- Southaven, MS
National Provider Identifier
1932883600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- EMOTIONALLY AVAILABLE COUNSELING
- Practice address
- 8830 Centre St Ste 2
Southaven, MS 38671-2609 - Phone
- (901) 308-7155
- Fax
- (662) 528-4745
- NPI assigned
- Jun 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jamieka Ebon Harris, LCSW
- Title
- Chief Executive Officer
- Phone
- (662) 404-1429
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
8830 Centre St Ste 2
Southaven, MS 38671-2609
Mailing address
1867 Amhurst CV
Southaven, MS 38671-5133
Phone (901) 308-7155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10780 Highway 178
Olive Branch, MS 38654
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Southaven, MS
- NPI 1629425517
-
- Psychiatry Physician
- Southaven, MS
- NPI 1518426162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703548800000",
"number": "1932883600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 AMHURST CV",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715133",
"telephone_number": "901-308-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 CENTRE ST STE 2",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386712609",
"telephone_number": "901-308-7155",
"fax_number": "662-528-4745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMOTIONALLY AVAILABLE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-13",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "JAMIEKA",
"authorized_official_middle_name": "EBON",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "662-404-1429",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.