MS. SHATERRACA T SLAUGHTER (NPI# 1639664865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639664865 |
| Entity Type | Individual |
| Full Name | MS. SHATERRACA T SLAUGHTER |
| Practice Address |
428 24th Ave N Columbus MS 39705-1945 |
| Mailing Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 6622417097 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
428 24TH AVE N |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518149699 | Naseeruddin A Khan | Internal Medicine | 428 24th Ave N, Columbus, MS 39705-1945 | 2007-11-30 |
| 1659839876 | Tavaraes Lashun Clark Jr. | Counselor | 428 24th Ave N, Columbus, MS 39705-1945 | 2019-03-06 |
| 1104384338 | Dazshea Trinna Petty | Counselor | 428 24th Ave N, Columbus, MS 39705-1945 | 2019-03-06 |
| 1639634587 | Angie James | Counselor | 428 24th Ave N, Columbus, MS 39705-1945 | 2019-02-05 |
| 1427533181 | Bryson David Barefoot | Counselor | 428 24th Ave N, Columbus, MS 39705-1945 | 2018-09-28 |
| 1083199111 | Titus Latham | Counselor | 428 24th Ave N, Columbus, MS 39705-1945 | 2018-09-25 |
| 1952896029 | Jessica Smith | Counselor | 428 24th Ave N, Columbus, MS 39705-1945 | 2018-06-29 |
| 1659866721 | Latoya Denise Hatchett | Social Worker | 428 24th Ave N, Columbus, MS 39705-1945 | 2018-06-29 |
| 1477046118 | Brooklyn Cole Morton | Counselor | 428 24th Ave N, Columbus, MS 39705-1945 | 2018-06-07 |
| 1740779669 | Lashanda Tate | Counselor | 428 24th Ave N, Columbus, MS 39705-1945 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
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| 1043825573 | David Fluellen | Counselor | 1743 E Main St, Columbus, OH 43205-2265 | 2020-09-11 |
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| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1326671769 | Elton Isaiah Bond | Counselor | 751 Kimball Pl, Columbus, OH 43205-2848 | 2020-02-13 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1982255717 | Ericka Johnson Settles | Counselor | 3472 Marlin Dr, Columbus, OH 43232-4855 | 2019-09-23 |
| 1518519362 | Trineene Hall | Counselor | 1700 Fountain Ct Apt 2801, Columbus, GA 31904-1639 | 2019-07-11 |
| 1093289407 | Counseling, Art Therapy, & Consultation, LLC | Counselor | 4937 W Broad St Ste 201, Columbus, OH 43228-1646 | 2019-01-18 |
| 1467937581 | Joshua Adam White | Counselor | 5130 E Spring Dr, Columbus, IN 47201-4934 | 2018-09-25 |
| 1467934802 | Stacey M Henry | Counselor | 8276 Tegmen St, Columbus, OH 43240 | 2018-09-02 |
| Find all providers in COLUMBUS | ||||
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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.