Jeremiah Mikel Andrews, LPC
Individual provider Active NPI Professional Counselor · Purvis, MS
NPI 1114877982 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1114877982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3405 (MS)
- Practice address
- 47 Woodridge
Purvis, MS 39475-3320 - Phone
- (704) 401-4808
- NPI assigned
- Feb 2, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 3405 | MS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3405 | MS | Yes |
Addresses
Primary practice location
47 Woodridge
Purvis, MS 39475-3320
Mailing address
47 Woodridge
Purvis, MS 39475-3320
Other providers in Purvis, MS
- John Robert Acord Jr.
- Anderson Drugs Inc
- Mason Ross Anderson
- Stephen Lavern Anderson
- Misty Jones Barrett
- Jody Carl Bennett
- Henry Bloomingburg
- Booco LLC
- Dajionnea Booth
All providers in Purvis, 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 Feb 2, 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.