Active NPI
Kenya Grace Bledsoe, PHD, LPC-S
- Mental Health Counselor
- Oxford, MS
National Provider Identifier
1982232096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2418
- Practice address
- 669 Centerpointe CV
Oxford, MS 38655-7720 - Phone
- (205) 317-9699
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2418 | MS | Primary |
Addresses
Primary practice location
669 Centerpointe CV
Oxford, MS 38655-7720
Mailing address
PO Box 3093
Oxford, MS 38655-3100
Phone (205) 317-9699
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2418 | MS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1982232096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3093",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553100",
"telephone_number": "205-317-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 CENTERPOINTE CV",
"city": "OXFORD",
"state": "MS",
"postal_code": "386557720",
"telephone_number": "205-317-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEDSOE",
"first_name": "KENYA",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "PHD, LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.