Individual provider Active NPI

Makeshia Warden

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1013478643
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3057 Issued in MS
Practice address
655 Pine LN
Jackson, MS 39212-3563
Phone
(769) 243-3372
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3057 MS Primary

Addresses

Primary practice location

655 Pine LN
Jackson, MS 39212-3563

Mailing address

655 Pine LN
Jackson, MS 39212-3563
Phone (769) 243-3372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003868 MS Practitioner - Mental Health Counselor 4688107980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watchman Group Inc.Group PAC ID 5597263459, 3 clinicians

Practice addresses (Care Compare)

599 Highland Colony Pkwy
Suite 110
Ridgeland, MS 39157-6075
Phone (601) 202-5980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3057MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Pathways, LLC Professional CurrentSince Aug 8, 2024 Accepting new patients
Watchman Group Inc. CurrentSince Aug 11, 2025 Accepting new patients

Locations

599 Highland Colony Pkwy
Ste 110
Ridgeland, MS 39157
Phone (601) 202-2822

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1013478643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 PINE LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123563",
            "telephone_number": "769-243-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 PINE LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123563",
            "telephone_number": "769-243-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "MAKESHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.