Catherine Coffey, MAMFTC, LPC
Individual provider Active NPI Professional Counselor · Jackson, MS
NPI 1104159128 · NPPES record last updated Sep 12, 2026
Key facts
- NPI
- 1104159128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1465 (MS)
- Practice address
- 1755 Lelia Dr Ste 201
Jackson, MS 39216-4828 - Phone
- (601) 362-7020
- Fax
- (601) 809-4233
- NPI assigned
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1465 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watershed Counseling Associates, PLLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1465 | MS | Yes |
Addresses
Primary practice location
1755 Lelia Dr Ste 201
Jackson, MS 39216-4828
Mailing address
1755 Lelia Dr Ste 201
Jackson, MS 39216-4828
Phone (601) 362-7020
Other names
- Catherine Walker
Other providers in Jackson, MS
- Lucille G Cockerham
- Chelsea Leigh Cockrell
- Hannah Cockrell
- Sarah Danielle Cockrell
- Jessica Candace Cody
- Andrew Dean Coffin
- Cogent Healthcare of Jackson Ms, LLC
- Jordan Ashley Coggins
- Cognitive Solutions
- Karen Cohn
All providers in Jackson, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.