MR. RANDY S KIRKSEY (NPI# 1518382266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518382266 |
| Entity Type | Individual |
| Full Name | MR. RANDY S KIRKSEY |
| Credential | MED, LSW,LMFT |
| Practice Address |
1017 Farnworth Ave Pascagoula MS 39567 |
| Practice Telephone | 2289907645 |
| Mailing Telephone | 2289907645 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | W2000 | MS | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | TS0181 | MS | Behavioral Health & Social Service Providers |
| Street Address |
1017 FARNWORTH AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1477948107 | Market Place Pharmacy, LLC | Pharmacy | 1965 Market Street, Pascagoula, MS 39567 | 2015-03-31 |
| 1063710747 | Hinman Chiropractic Care, Pa | Chiropractor | 3215 Market Street, Pascagoula, MS 39567 | 2011-03-04 |
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| 1912214438 | Walker Chiropractic Center, Pllc | Chiropractor | 1408 Ingalls Ave, Pascagoula, MS 39567 | 2010-09-03 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1720299415 | James H Halbrook | Dentist | 2202 Old Mobile Hwy, Pascagoula, MS 39567 | 2007-05-24 |
| 1871624627 | Thayne Christopher Griener | Otolaryngology | 2812 Andrews Avenue, Pascagoula, MS 39567 | 2007-03-07 |
| 1447318159 | Ada Ruth Bosarge | Physical Therapist | 2838 Andrew St, Pascagoula, MS 39567 | 2006-12-05 |
| 1700954930 | Maria A Benvenutti-payne | Physical Therapist | 2828 Andrew St, Pascagoula, MS 39567 | 2006-12-04 |
| Find all providers in zip 39567 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593470 | Britney Mangum Huber | Marriage & Family Therapist | 607 Corinne St Ste A2, Hattiesburg, MS 39401-3827 | 2020-09-18 |
| 1013526284 | Therapy Today, LLC | Marriage & Family Therapist | 1045 Church Rd E Ste 2b, Southaven, MS 38671-9702 | 2020-07-23 |
| 1942823422 | Terry Matthews | Marriage & Family Therapist | 1045 Church Rd E, Southaven, MS 38671-9702 | 2020-05-19 |
| 1144843772 | Sonya Sebren Summerlin | Marriage & Family Therapist | 17 Peachtree Ln, Madison, MS 39110-9217 | 2020-05-18 |
| 1306488705 | Vinalrae Brame | Marriage & Family Therapist | 607 Corinne St Ste A2office, Hattiesburg, MS 39401-3831 | 2019-10-17 |
| 1811559909 | Graystone Group LLC | Marriage & Family Therapist | 2218 18th St Ste B, Gulfport, MS 39501-2911 | 2019-06-28 |
| 1275009565 | Bahar Dunn | Marriage & Family Therapist | 292 Commerce Park Dr Ste C, Ridgeland, MS 39157-2239 | 2018-10-15 |
| 1871086611 | Adrienne L. Hearn | Marriage & Family Therapist | 580 S Pear Orchard Rd Apt 623, Ridgeland, MS 39157-4212 | 2018-06-06 |
| 1740792209 | Paula Hollingsworth | Marriage & Family Therapist | 5 Orleans Dr Ste 2, Hattiesburg, MS 39402-8675 | 2017-10-24 |
| 1043734080 | Naomi Fortune Muffuletto | Marriage & Family Therapist | 1151 North State Street, Suite 212, Jackson, MS 39202-2467 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39567 |
Please comment or provide details below to improve the information on MR. RANDY S KIRKSEY.
| 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.