Active NPI
Jason D Hill, LPC-S, NCC
- Professional Counselor
- Jackson, MS
National Provider Identifier
1134454697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2322
- Practice address
- 5305 Keele St
Jackson, MS 39206-4107 - Phone
- (228) 617-9430
- NPI assigned
- Oct 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 2322 | MS | Primary |
Addresses
Primary practice location
5305 Keele St
Jackson, MS 39206-4107
Mailing address
5305 Keele St
Jackson, MS 39206-4107
Phone (228) 617-9430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200340240A | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1134454697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 KEELE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392064107",
"telephone_number": "228-617-9430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 KEELE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392064107",
"telephone_number": "228-617-9430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JASON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "LPC-S, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-15",
"last_updated": "2022-01-13",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200340240A",
"state": "OK"
}
],
"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 Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.