Individual provider Active NPI

Teresa Hulsey, PHD

  • Clinical Psychologist
  • Brandon, MS
National Provider Identifier
1093497075
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
621109 Issued in MS
Practice address
307 E Government St Ste a
Brandon, MS 39042-3238
Phone
(769) 210-4593
NPI assigned
Aug 1, 2023
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 621109 MS Primary

Addresses

Primary practice location

307 E Government St Ste a
Brandon, MS 39042-3238

Mailing address

404 Stoneybrook Dr
Brandon, MS 39042-3501

Other practice location 1

404 Stoneybrook Dr
Brandon, MS 39042-3501
Phone (817) 404-2192

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
I20251024001063 MS Practitioner - Clinical Psychologist 9638667298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LL Counseling ServicesGroup PAC ID 5698279693, 5 clinicians

Practice addresses (Care Compare)

307 E Government St
Suite a
Brandon, MS 39042-3238
Phone (601) 951-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
621109MSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
LL Counseling Services CurrentSince Oct 10, 2025 Accepting new patients

Locations

307 E Government St
Ste A
Brandon, MS 39042
Phone (601) 654-5661

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1093497075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 STONEYBROOK DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E GOVERNMENT ST STE A",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423238",
            "telephone_number": "769-210-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Stoneybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423501",
            "country_code": "US",
            "telephone_number": "817-404-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULSEY",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "621109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.