Individual provider Active NPI

Sheila Dawn Runnels, M.S., LPC, NCC

  • Mental Health Counselor
  • Jackson, MS
National Provider Identifier
1184390841
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3114 Issued in MS
Practice address
341 Edgewood Terrace Dr
Jackson, MS 39206-6217
Phone
(601) 487-6344
Fax
(601) 398-0289
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3114 MS Primary
Professional Counselor 101YP2500X 12253 SC

Addresses

Primary practice location

341 Edgewood Terrace Dr
Jackson, MS 39206-6217

Mailing address

112 Lakeview Dr
Clinton, MS 39056-4434
Phone (601) 674-2844

Other practice location 1

112 Lakeview Dr
Clinton, MS 39056-4434
Phone (601) 460-1345

Other practice location 2

170 Meeting St Ste 110
Charleston, SC 29401-3178
Phone (323) 205-7088

Other practice location 3

2525 Lakeward Dr Ste 110
Jackson, MS 39216-4827
Phone (601) 981-8846

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029001909 MS Practitioner - Mental Health Counselor 2860925807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive Pathways, LLCGroup PAC ID 0648678425, 10 clinicians

Practice addresses (Care Compare)

1905 Mission
Suite 66
Vicksburg, MS 39180-3711
Phone (601) 738-5820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3114MSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wyatt & Walker LLC Mental Health CurrentSince Aug 1, 2026 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Oct 20, 2025 Accepting new patients
Positive Pathways, LLC Professional CurrentSince Aug 8, 2024 Accepting new patients

Locations

2525 Lakeward Dr
Ste 110
Jackson, MS 39216
Phone (601) 981-8846

341 Edgewood Terrace Dr
Jackson, MS 39206
Phone (601) 487-6344

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1184390841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LAKEVIEW DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564434",
            "telephone_number": "601-674-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 EDGEWOOD TERRACE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392066217",
            "telephone_number": "601-487-6344",
            "fax_number": "601-398-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564434",
            "country_code": "US",
            "telephone_number": "601-460-1345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Meeting St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294013178",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Lakeward Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164827",
            "country_code": "US",
            "telephone_number": "601-981-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNNELS",
        "first_name": "SHEILA",
        "middle_name": "DAWN",
        "credential": "M.S., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3114",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "12253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.