MR. MATTHEW SHANE MITCHELL (NPI# 1144547720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144547720 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW SHANE MITCHELL |
| Credential | L.P.C. |
| Practice Address |
601 Foote St Corinth MS 38834-4834 |
| Mailing Address |
Po Box 839 Corinth MS 38835-0839 |
| Practice Telephone | 6622874424 |
| Practice Fax Number | 6622877020 |
| Mailing Telephone | 6627282185 |
| Mailing Fax Number | 6627282345 |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2016-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255701504 | Matthew Mitchell | Pharmacist | 751 Forest Ave Ste 204, Zanesville, OH 43701-2875 | 2015-09-29 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| 1316283450 | Matthew Dennis Mitchell | Physical Therapist | 196 Arrowhead Dr Ste 3, Evanston, WY 82930-8752 | 2012-12-18 |
| 1437441532 | Matthew John Mitchell | Military Health Care Provider | 138 Burningtree Dr, Groton, CT 06340-3100 | 2011-05-07 |
| 1871698043 | Matthew C Mitchell | Dentist | 211 High Point Ct, Suite 500, Mt Washington, KY 40047-5528 | 2006-09-13 |
| 1295705424 | Matthew D Mitchell | Occupational Therapist | 1069 Us Highway 224, Nova, OH 44859-9770 | 2006-01-23 |
| 1164955761 | Matthew Mitchell | Student in an Organized Health Care Education/Training Program | 920 Madison Ave, Suite 447, Memphis, TN 38103-3438 | 2017-04-10 |
| 1013449131 | Matthew Mitchell | Counselor | 7162 Reading Rd, 700, Cincinnati, OH 45237-3838 | 2017-03-29 |
| 1346695038 | Matthew Mitchell | Pharmacist | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-04-29 |
| 1891109120 | Matthew Mitchell | Anesthesiology | 2800 Main St, Bridgeport, CT 06606-4201 | 2014-06-14 |
| Street Address |
601 FOOTE ST |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952344483 | Marshall Paul Vance | Psychiatry & Neurology | 601 Foote St, Corinth, MS 38834-4834 | 2006-06-13 |
| 1619324571 | Makaya Workman | Social Worker | 601 Foote St, Corinth, MS 38834-4834 | 2016-05-20 |
| 1417348681 | Region Iv Mhs | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2015-02-10 |
| 1740600808 | Region Iv | Nursing Care | 601 Foote St, Corinth, MS 38834-4834 | 2014-04-16 |
| 1578903472 | Anna Grace Mcferrin | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-25 |
| 1013357938 | Thomas Wilson Harington | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-25 |
| 1518306711 | Kristin Leigh Green | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-20 |
| 1669715975 | Diana Alyse Harrell | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-04-04 |
| 1457691867 | Susan Lamb Hardin | Registered Nurse | 601 Foote St, Corinth, MS 38834-4834 | 2013-02-21 |
| 1114267937 | Tiffany Hope Wilbanks | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689201055 | Manveer Myah Dhesi | Counselor | 4845 S I 35 E Ste 100, Corinth, TX 76210-2303 | 2020-03-25 |
| 1154851046 | Abundance of Hope Counseling | Counselor | 3001 Fm 2181 Ste 100, Corinth, TX 76210-2101 | 2017-06-14 |
| 1912350786 | Jennifer Anne Crave | Counselor | 105 Oak Street, Corinth, NY 12822 | 2016-07-18 |
| 1780085662 | Arlene Settle | Counselor | 1002 Primrose Cv, Corinth, MS 38834-3800 | 2014-09-10 |
| 1972946754 | Jo Ann Wilbanks | Counselor | 102 N Cass St Ste A, Corinth, MS 38834-5725 | 2013-04-11 |
| 1104166404 | Kassandra Decker | Counselor | 1904 Oak Ln, Corinth, MS 38834-2760 | 2013-02-22 |
| 1013257781 | Ashley L Saulter | Counselor | 311 South Cass Street, Corinth, MS 38834 | 2013-02-18 |
| 1659630689 | Bari J Bannister | Counselor | 96 Stark Rd, Corinth, NY 12822-2300 | 2012-05-11 |
| 1881994572 | Mica Nicole Rickman | Counselor | 401 New Hope Dr, Corinth, MS 38834-7458 | 2010-10-27 |
| 1295049294 | Misty Weaver | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2010-08-02 |
| Find all providers in CORINTH | ||||
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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.