Active NPI
Callie A Emmons, BSW
- Counselor
- Booneville, MS
National Provider Identifier
1972774966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 609 E Church St
Booneville, MS 38829-3711 - Phone
- (662) 728-2488
- Fax
- (662) 728-9803
- NPI assigned
- Mar 18, 2008
- Last updated
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
609 E Church St
Booneville, MS 38829-3711
Mailing address
1867 Crane Ridge Dr Ste 150C
Jackson, MS 39216-4982
Phone (769) 251-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Centers & Clinics of Tennessee | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Quinco Mental Health Center
- Mental Health Counselor
- Bolivar, TN
- NPI 1255442794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1972774966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 CRANE RIDGE DR STE 150C",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164982",
"telephone_number": "769-251-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E CHURCH ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388293711",
"telephone_number": "662-728-2488",
"fax_number": "662-728-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMONS",
"first_name": "CALLIE",
"middle_name": "A",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, MS
- Jennifer Downs, PHARM. D.
- Larry Carlton Downs, DDS
- Erik Ward Dukes, MD
- Renate Eaton, ANP
- Nicholas Heith Elliott, DNP, FNP-BC, PMHNP-B
- Encore Rehabilitation, Inc. (Encore Rehab of Booneville)
- Faith Family Clinic of Booneville
- Faith Family Clinic, LLC
- Family First Medical Clinic, LLC
- Family Med 101, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.