MR. CHRISTOPHER SHAN COTHERN (NPI# 1376704189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376704189 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER SHAN COTHERN |
| Credential | MS, LPC, LMFT |
| Practice Address |
1108 Ponderosa Dr Terry MS 39170-9416 |
| Practice Telephone | 6013739156 |
| Mailing Telephone | 6013739156 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
570 | MS | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | T0137 | MS | Behavioral Health & Social Service Providers |
| Street Address |
1108 PONDEROSA DR |
| City | TERRY |
| State | MS |
| Zip Code | 39170-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588950489 | Foundations Counseling of Byram, LLC | Counselor | 1108 Ponderosa Dr, Terry, MS 39170-9416 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851595 | Barbara Sharp | Technician | 2260 Greengable Rd, Terry, MS 39170 | 2019-10-07 |
| 1356904171 | Hope Healthcare Agency, LLC | In Home Supportive Care | 13252 I-55 South Frontage Road, Terry, MS 39170 | 2019-04-17 |
| 1093120602 | Fideltyhealthcare | Home Health | 127 Garett Drive, Terry, MS 39170 | 2014-06-23 |
| 1104258912 | Freds Stores of Tennessee Inc | Pharmacy | 422 W. Cunningham Ave, Terry, MS 39170 | 2013-08-02 |
| 1083795561 | Terry Discount Drugs | Durable Medical Equipment & Medical Supplies | 128 Cunningham St, Terry, MS 39170 | 2006-10-18 |
| 1164537197 | Terry Discount Drugs | Pharmacy | 128 Cunningham Ave, Terry, MS 39170-0037 | 2006-08-20 |
| 1063629376 | Terry Family Medical Clinic | Nurse Practitioner | 120 W Raymond Street, Terry, MS 39170-0970 | 2007-05-17 |
| 1477650869 | Gloria O Areghan | Nurse Practitioner | 120 W. Raymond Street, Terry, MS 39170-0970 | 2006-09-20 |
| 1720488968 | Kristi Richards | Physical Therapy Assistant | 316 Lakeover Pl, Terry, MS 39170-4407 | 2014-08-25 |
| 1467797001 | Whitney William Healthcare, LLC | Internal Medicine | 1290 Caroline Dr, Terry, MS 39170-5000 | 2012-12-08 |
| Find all providers in zip 39170 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134868 | Charsie Duvall | Counselor | 1302 Pleasant Grove Chapparal Rd, Waynesboro, MS 39367-7415 | 2020-11-02 |
| 1356940977 | Joy Wheeler | Counselor | 8631 Pigeon Roost Rd, Olive Branch, MS 38654-1298 | 2020-10-23 |
| 1427655364 | Nurturing Hands | Counselor | 296 Beauvoir Rd Ste 100-156, Biloxi, MS 39531-4051 | 2020-10-05 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1245846807 | Rochelle Grice | Counselor | 6871 Wrenwood Dr, Horn Lake, MS 38637-7710 | 2020-09-18 |
| 1265047237 | Tori Weatherspoon | Counselor | Timber Hills Mental Health Services, 2441- A Co Rd 501, Ripley, MS 38663 | 2020-09-15 |
| 1629681531 | Kayla Denea White | Counselor | 6 Professional Pkwy, Ridgeland, MS 39157-4113 | 2020-08-28 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1477179315 | Fredna Leigh Georgen | Counselor | 615 Highway 469 N, Florence, MS 39073-8928 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.