ALFREDA CARING FOR LIFE — NPI 1871204131 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging in ABERDEEN, MS)

CMS-1500 Box 24J / 33a • NPI

1871204131

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TA0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging

Box 32 Service Location & ZIP+4

20011 SIMPSON DR, ABERDEEN, MS, 39730-8567

✓ 9-Digit EDI 837 ZIP+4 (39730-8567)

Practice Phone & Referral Fax

(662) 255-6664

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871204131 (ALFREDA CARING FOR LIFE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1871204131` (NPI-2 Organization / Facility)
Provider / Legal Name	ALFREDA CARING FOR LIFE
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging NUCC Code: `103TA0700X` (Psychologist, Adult Development & Aging)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	20011 SIMPSON DR, ABERDEEN, MS, 39730-8567
Practice Telephone / Fax	Tel: (662) 255-6664
Administrative Mailing Address	20011 SIMPSON DR, ABERDEEN, MS, 39730-8567
Enumeration & Last Sync	Enumerated: 2022-12-07 \| CMS Record Updated: 2022-12-07
Authorized Official	ALFREDA FORSHEE (Organization)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

20011 SIMPSON DR, ABERDEEN, MS, 39730-8567

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Plain-English Taxonomy & CMS Crosswalk (103TA0700X)

What Does Taxonomy Code 103TA0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TA0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Adult Development & Aging for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALFREDA CARING FOR LIFE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TA0700X` — Psychologist, Adult Development & Aging Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALFREDA CARING FOR LIFE (NPI #1871204131)