Jerri Gledhill, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2622 Issued in MS

Practice address

241 Sunnybrook Rd
Ridgeland, MS 39157-2206

Phone

(769) 231-9414

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jerri Avery Former name

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Killebrew Psychological Services LLCGroup PAC ID 8426330226, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Killebrew Psychological Services, LLC

  • Psychologist
  • Ridgeland, MS
  • NPI 1073988051
  Medicare reassignment Care Compare group NPD
• Essential Touchstones Behavioral Health

  • Mental Health Counselor
  • Leakesville, MS
  • NPI 1679418305

  Professional

  NPD

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1245837756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WESTLAKE CIR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391101808",
            "telephone_number": "601-906-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SUNNYBROOK RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572206",
            "telephone_number": "769-231-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391572312",
            "country_code": "US",
            "telephone_number": "769-231-9414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Sunnybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391572206",
            "country_code": "US",
            "telephone_number": "769-231-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEDHILL",
        "first_name": "JERRI",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRI",
            "last_name": "AVERY",
            "credential": "PHD, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Konstantina Matheos Gilbert, LPC, LPCC, LPAT
• Tony Gines
• Kavetta Renee Gipson, REGISTERED NURSE
• Donald Keith Givan, D.M.D.
• Bethany Leigh Glass
• Clyde E Glenn, M.D.
• Global Medical Services, Inc.
• Global Medical Supply, Inc
• Wendell Glover, M.D.
• Leslie Lee Goff, SLP

• Professional Counselor in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.