Active NPI
Jamie Himes, LPC
- Professional Counselor
- Jackson, MS
National Provider Identifier
1093943888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0605026
- Practice address
- 860 E River PL Ste 104
Jackson, MS 39202-3442 - Phone
- (601) 594-3931
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P0605026 | AR | Primary |
Addresses
Primary practice location
860 E River PL Ste 104
Jackson, MS 39202-3442
Mailing address
200 S Park Dr
Jackson, MS 39211-4273
Phone (601) 354-0983
Other practice location 1
2002 S Fillmore St
Little Rock, AR 72204-4909
Phone (501) 661-0720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0605026 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Christian Services for Children and Youth, Inc. | Current | Accepting new patients | |
| United Methodist Children'S Home, Inc. | Past | Accepting new patients | |
| United Methodist Children'S Home | Past | Accepting new patients |
Locations
860 E River Pl
Ste 104
Jackson, MS 39202
Phone (601) 354-0983
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MS
- NPI 1477069037
-
- Substance Abuse Rehabilitation Facility
- Little Rock, AR
- NPI 1326286386
-
- Psychiatric Residential Treatment Facility
- Little Rock, AR
- NPI 1326116518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1093943888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S PARK DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392114273",
"telephone_number": "601-354-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E RIVER PL STE 104",
"city": "JACKSON",
"state": "MS",
"postal_code": "392023442",
"telephone_number": "601-594-3931"
}
],
"practiceLocations": [
{
"address_1": "2002 S Fillmore St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722044909",
"country_code": "US",
"telephone_number": "501-661-0720",
"fax_number": "501-687-0839",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIMES",
"first_name": "JAMIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P0605026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.