Individual provider Active NPI

Jennifer Earl Rossi, PMHNP

  • Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1184208449
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904602 Issued in MS
Practice address
302 S Spring St
Tupelo, MS 38804-4822
Phone
(662) 205-0098
NPI assigned
May 11, 2021
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904602 MS Primary

Addresses

Primary practice location

302 S Spring St
Tupelo, MS 38804-4822

Mailing address

PO Box 68
Tupelo, MS 38802-0068
Phone (662) 584-5097

Other practice location 1

1893 Cliff Gookin Blvd
Tupelo, MS 38801-6558
Phone (662) 205-0098

Other practice location 2

499 Gloster Creek Vlg Ste A3
Tupelo, MS 38801-4712
Phone (662) 640-4595

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624000047 MS Practitioner - Nurse Practitioner 0042611337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heale Counseling LLCGroup PAC ID 7416316880, 32 clinicians

Practice addresses (Care Compare)

302 S Spring St
Tupelo, MS 38804-4853
Phone (662) 205-0098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904602MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heale Counseling, LLC Psychiatry CurrentSince Oct 8, 2025 Accepting new patients

Locations

1893 Cliff Gookin Blvd
Tupelo, MS 38801

302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1184208449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020068",
            "telephone_number": "662-584-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044822",
            "telephone_number": "662-205-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1893 Cliff Gookin Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016558",
            "country_code": "US",
            "telephone_number": "662-205-0098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 Gloster Creek Vlg Ste A3",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014712",
            "country_code": "US",
            "telephone_number": "662-640-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JENNIFER",
        "middle_name": "EARL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.