MR. KELLY WAYNE FERGUSON (NPI# 1568722874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568722874 |
| Entity Type | Individual |
| Full Name | MR. KELLY WAYNE FERGUSON |
| Credential | MA, LMFT |
| Practice Address |
1916 University Ave Oxford MS 38655-4114 |
| Mailing Address |
60 Dogwood Cv Pontotoc MS 38863-7627 |
| Practice Telephone | 6622811306 |
| Practice Fax Number | 6622811326 |
| Mailing Telephone | 3862144351 |
| Mailing Fax Number | 6628441757 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2013-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MT0897 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912489410 | Kelly Ferguson | Registered Nurse | Ucsb M/c 7002, Santa Barbara, CA 93106-0001 | 2018-08-30 |
| 1497272892 | Kelly Elise Ferguson | Acupuncturist | 3115 Burning Springs Rd Apt 2a, Laurel, MD 20724 | 2017-08-25 |
| 1497969018 | Kelly Ferguson | Registered Nurse | 609 Lincoln Street, Sitka, AK 99835 | 2007-05-10 |
| 1871906438 | Kelly Ferguson | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd, Ste. 300, Houston, TX 77042-2300 | 2014-06-11 |
| 1730527300 | Kelly Linette Ferguson | Hospitalist | 401 N Main St, Kenansville, NC 28349-8801 | 2013-06-05 |
| 1033495775 | Kelly Anne Ferguson | Physician Assistant | 1425 Portland Ave, Rochester General Hospitalist Group, Rochester, NY 14621 | 2011-10-26 |
| 1013292192 | Kelly A Ferguson | Nurse Practitioner | Emile @ 42nd St, Omaha, NE 68198 | 2011-10-20 |
| 1043591068 | Kelly Ferguson | Pharmacist | 9 N State St, North Vernon, IN 47265-1723 | 2011-09-03 |
| 1407073331 | Kelly Ferguson | Speech-Language Pathologist | 4560 South Blvd, Virginia Beach, VA 23452-1160 | 2007-04-20 |
| 1447302062 | Kelly K Ferguson | Psychologist | 212 State Street, Fort Scott, KS 66701-2031 | 2007-01-16 |
| Street Address |
1916 UNIVERSITY AVE |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477649218 | Thomas D Fowlkes | Emergency Medicine | 1916 University Ave, Oxford, MS 38655-4114 | 2006-10-05 |
| 1245747526 | Brian Simmons | Social Worker | 1916 University Ave, Oxford, MS 38655-4114 | 2018-01-08 |
| 1659883155 | Marcelene Kubacki Redding | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-10-25 |
| 1548799000 | Deja Jawanda Washington | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-06-08 |
| 1215476569 | Martinese Fitzpatrick | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-02-20 |
| 1487193884 | Larry R. Wills | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-02-17 |
| 1649635111 | Emily Grace Ames | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2015-12-28 |
| 1841661899 | Autum Pierce | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2015-10-16 |
| 1619353877 | Oxford Treatment Center, LLC | Clinic/Center | 1916 University Ave, Oxford, MS 38655-4114 | 2015-08-10 |
| 1720404916 | Doris Meux | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2014-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912424979 | Lara C Osborne | Counselor | 5790 Stillwell Beckett Rd, Oxford, OH 45056-8931 | 2017-08-29 |
| 1497092043 | Patricia Sue Salvatore | Counselor | 45 Rabbit Valley Rd, Oxford, ME 04270-4225 | 2013-01-15 |
| 1467749366 | Heather L Jacoby | Counselor | 47 Pleasant St, Oxford, ME 04270-4273 | 2011-06-30 |
| 1730482712 | Melissa Dawn Perkins | Counselor | 152 Hwy 7 South, Oxford, MS 38655 | 2010-12-13 |
| 1083853493 | Jack A Rogers Jr. | Counselor | 152a Highway 7 S, Oxford, MS 38655-5392 | 2009-02-09 |
| 1568658813 | Caring Heart | Counselor | 6773 Leaning Oak Road, Oxford, NC 27565-2506 | 2007-09-20 |
| 1952446387 | Theartis Doreise Holmes | Counselor | 104 Belle St, Oxford, NC 27565-3350 | 2007-02-21 |
| 1336764216 | Kasha Davette Nix | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-16 |
| 1972128809 | Kasi L Brown | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-16 |
| 1386269223 | Deborah Yim | Counselor | 118 E Choccolocco St, Oxford, AL 36203-1222 | 2020-06-16 |
| Find all providers in OXFORD | ||||
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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.