Annette C James

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

814 Issued in MS

Practice address

1800 W Main St Ste 10
Tupelo, MS 38801-3256

Phone

(662) 401-1712

NPI assigned

Jul 12, 2017

Last updated

Jun 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annette.riddle.1@26357.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26357/brand/1/csg/1/fhir/r4

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

• Dreams Over Distractions Consulting & Counseling Services LLC

  • Professional Counselor
  • Tupelo, MS
  • NPI 1629896915
  Medicare reassignment NPD Authorized official
• The Chadwick Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
  • NPI 1801538186
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1073035903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MICHAEL CIR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016111",
            "telephone_number": "662-401-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W MAIN ST STE 10",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013256",
            "telephone_number": "662-401-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ANNETTE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Jackson
• Russell Earl Jackson
• Valerie Jackson, RN
• Amit Jain, M.D
• Jalopy Shoppe, Inc (Praxair Healthcare Services)
• Robert Wylie Jarrett Jr., MD
• Jeanette Zurawski, M.D. PA
• Violet Louise Jefcoat
• Kaila Jefferson
• Titus Jefferson

• Professional Counselor in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.