The Counselor in Flip-Flops, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE COUNSELOR IN FLIP-FLOPS, LLC

Practice address

6952 Dogwood MNR N Ste 101
Olive Branch, MS 38654-2091

Phone

(662) 782-6652

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Katharine Grace Johnson, PHD, LPC-S, NCCNPI 1053783480

Title

Owner/Professional Counselor

Phone

(256) 682-9230

Specialties & licenses 1

Addresses

Practitioners 1

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

• Katharine Johnson, LPC

  • Counselor
  • Olive Branch, MS
  • NPI 1053783480
  NPD Authorized official

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1962273722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 ANTEBELLUM LN",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546575",
            "telephone_number": "256-682-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6952 DOGWOOD MNR N STE 101",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542091",
            "telephone_number": "662-782-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELOR IN FLIP-FLOPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "256-682-9230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christi Taylor, PT
• Eliza Taylor, DDS
• Samantha Tedford, DPT
• Douglas Thaggard, MD
• The Belmont Home Care LLC
• The Medical Clinic of Desoto Inc
• Bethany Thomas
• James Jacob Thompson
• Yolanda Thompson
• Shannon Tisdell, FNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.