Individual provider Active NPI

Jennifer Walker Harris, MS

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1083805337
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1305 Issued in MS
Practice address
1635 Lelia Dr Ste 100
Jackson, MS 39216-4876
Phone
(601) 790-0205
NPI assigned
Aug 1, 2007
Last updated
Mar 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X N/A MS
Professional Counselor 101YP2500X 1305 MS Primary

Addresses

Primary practice location

1635 Lelia Dr Ste 100
Jackson, MS 39216-4876

Mailing address

PO Box 320792
Flowood, MS 39232-0792
Phone (016) 790-0205

Other practice location 1

2540 Flowood Dr
Flowood, MS 39232-9362
Phone (601) 939-5993

Other names 1

  • Jennifer Walker Perkins Former name

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
I20250425001228 MS Practitioner - Mental Health Counselor 0941536403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1635 Lelia Dr
Suite 100
Jackson, MS 39216-4876
Phone (601) 790-0205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
N/AMSMDMental Health Counselor
1305MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Counseling & Consulting, LLC Professional CurrentSince Mar 24, 2025 Accepting new patients

Locations

1635 Lelia Dr
Ste 100
Jackson, MS 39216
Phone (601) 362-7020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1083805337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320792",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392320792",
            "telephone_number": "016-790-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 LELIA DR STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164876",
            "telephone_number": "601-790-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Flowood Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329362",
            "country_code": "US",
            "telephone_number": "601-939-5993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "WALKER",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PERKINS",
            "middle_name": "WALKER",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.