Active NPI
Timmothy Patterson
- Counselor
- Biloxi, MS
National Provider Identifier
1184492340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3376
- Practice address
- 715 Howard Ave
Biloxi, MS 39530-4305 - Phone
- (228) 383-6989
- NPI assigned
- Dec 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3376 | MS | |
| Counselor | 101Y00000X | 3376 | MS | Primary |
Addresses
Primary practice location
715 Howard Ave
Biloxi, MS 39530-4305
Mailing address
1286 Father Ryan Ave
Biloxi, MS 39530-3632
Phone (601) 522-8902
Other practice location 1
96 Highway 587
Foxworth, MS 39483-5026
Phone (601) 724-3628 ext. 704
Other practice location 2
623 N Main St Fl 3
Hattiesburg, MS 39401-3466
Phone (601) 724-3628 ext. 704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3376 | MS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Community Collective | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Hattiesburg, MS
- NPI 1740050509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1184492340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1286 FATHER RYAN AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395303632",
"telephone_number": "601-522-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 HOWARD AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395304305",
"telephone_number": "228-383-6989"
}
],
"practiceLocations": [
{
"address_1": "96 Highway 587",
"address_purpose": "LOCATION",
"city": "Foxworth",
"state": "MS",
"postal_code": "394835026",
"country_code": "US",
"telephone_number": "601-724-3628 x704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "623 N Main St Fl 3",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394013466",
"country_code": "US",
"telephone_number": "601-724-3628 x704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "TIMMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-18",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "3376",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "3376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.