NPIMap

Organization Active NPI

Magnolia Counseling Center & Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ocean Springs, MS
National Provider Identifier
1952839409
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAGNOLIA COUNSELING CENTER & SERVICES, LLC
Practice address
2130 Government St Ste a
Ocean Springs, MS 39564-3937
Phone
(228) 382-3107
Fax
(800) 854-0906
NPI assigned
May 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Jessica Ellen RobertsonNPI 1447340161
Title
Owner
Phone
(228) 382-3107

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2130 Government St Ste a
Ocean Springs, MS 39564-3937

Mailing address

2130 Government St Ste a
Ocean Springs, MS 39564-3937
Phone (228) 382-3107

National Provider Directory

National Provider Directory

Locations

21180 Highway 613
Moss Point, MS 39562

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1952839409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 GOVERNMENT ST STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643937",
            "telephone_number": "228-382-3107",
            "fax_number": "800-854-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 GOVERNMENT ST STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643937",
            "telephone_number": "228-382-3107",
            "fax_number": "800-854-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING CENTER & SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-382-3107"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.