Organization Active NPI

Nool Counseling Center, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Hattiesburg, MS
National Provider Identifier
1992290522
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
2114 Issued in MS
Legal business name
NOOL COUNSELING CENTER, PLLC
Practice address
516 W Laurel Ave
Hattiesburg, MS 39401-3503
Phone
(601) 606-0561
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Ashlie Swindol West, LPC-SNPI 1174073829
Title
Owner/Clinician
Phone
(601) 606-0561

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Adult Mental Health Clinic/Center 261QM0850X 2114 MS
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2114 MS Primary

Addresses

Primary practice location

516 W Laurel Ave
Hattiesburg, MS 39401-3503

Mailing address

516 W Laurel Ave
Hattiesburg, MS 39401-3503
Phone (601) 606-0561

Other practice location 1

604 Adeline St Ste B
Hattiesburg, MS 39401-3929
Phone (601) 606-0561

Other identifiers 1

IdentifierTypeStateIssuer
003270207MedicaidMS

National Provider Directory

National Provider Directory

Locations

516 W Laurel Ave
Hattiesburg, MS 39401
Phone (601) 606-0561

604 Adeline St
Ste B
Hattiesburg, MS 39401
Phone (601) 520-6535

Practitioners & affiliated clinicians

Practitioners 5

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": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1992290522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W LAUREL AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013503",
            "telephone_number": "601-606-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W LAUREL AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013503",
            "telephone_number": "601-606-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Adeline St Ste B",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394013929",
            "country_code": "US",
            "telephone_number": "601-606-0561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOOL COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "ASHLIE",
        "authorized_official_middle_name": "SWINDOL",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "601-606-0561",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MS",
            "license": "2114",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MS",
            "license": "2114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003270207",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.