Active NPI
Jamaal Murriel, MS,PCAT, PCMHT
- Addiction (Substance Use Disorder) Counselor
- Jackson, MS
National Provider Identifier
1003485798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- PH4834
- Practice address
- 1935 Lakeland Dr
Jackson, MS 39216-5028 - Phone
- (601) 718-2468
- NPI assigned
- Jun 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PH4834 | MS | Primary |
Addresses
Primary practice location
1935 Lakeland Dr
Jackson, MS 39216-5028
Mailing address
1205 Colony Park Dr
Pearl, MS 39208-6293
Phone (601) 407-8286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH4834 | MS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1003485798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 COLONY PARK DR",
"city": "PEARL",
"state": "MS",
"postal_code": "392086293",
"telephone_number": "601-407-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165028",
"telephone_number": "601-718-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRIEL",
"first_name": "JAMAAL",
"credential": "MS,PCAT, PCMHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MS",
"license": "PH4834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.