Active NPI
Powerful Minds Counseling, LLC
- Mental Health Counselor
- Gulfport, MS
National Provider Identifier
1952085417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- POWERFUL MINDS COUNSELING, LLC
- Practice address
- 11428 Harris Dr
Gulfport, MS 39503-3218 - Phone
- (228) 596-8911
- NPI assigned
- Jun 14, 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
- Dr. Shelbi Bradley, LPC
- Title
- Owner/Therapist
- Phone
- (228) 596-8911
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11428 Harris Dr
Gulfport, MS 39503-3218
Mailing address
11428 Harris Dr
Gulfport, MS 39503-3218
Phone (228) 596-8911
Other practice location 1
2112 Bienville Blvd Ste M1
Ocean Springs, MS 39564-3027
Phone (228) 596-8911
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Biloxi, MS
- NPI 1083103840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1952085417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11428 HARRIS DR",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033218",
"telephone_number": "228-596-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11428 HARRIS DR",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033218",
"telephone_number": "228-596-8911"
}
],
"practiceLocations": [
{
"address_1": "2112 Bienville Blvd Ste M1",
"address_purpose": "LOCATION",
"city": "Ocean Springs",
"state": "MS",
"postal_code": "395643027",
"country_code": "US",
"telephone_number": "228-596-8911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "POWERFUL MINDS COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "SHELBI",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "228-596-8911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.