Jemecia N. Calvin, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1385 Issued in MS

Practice address

1003 W Sunflower Rd
Ewing Hall Room 338-Delta State University
Cleveland, MS 38733-0001

Phone

(662) 721-6756

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

Yes

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2010.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1013225663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W SUNFLOWER RD",
            "address_2": "DSU BOX 2211",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387330001",
            "telephone_number": "662-846-4364",
            "fax_number": "662-846-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W SUNFLOWER RD",
            "address_2": "EWING HALL ROOM 338-DELTA STATE UNIVERSITY",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387330001",
            "telephone_number": "662-721-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVIN",
        "first_name": "JEMECIA",
        "middle_name": "N.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Brown
• Hamilton Brown, D.M.D.
• Nate Brown, MD
• Matthew Reed Buckley, EDD
• Emily McKinion Burroughs, PMHNP
• Ruth Avegail Ragadio Capapas
• Charles W. Capps III, FNP
• Cardiovascular Solutions of Central Ms PA
• John A Carr, MD
• Children'S Acceleration Program, Inc.

• All providers in Cleveland, MS
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.