Susan Vickery Herring, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

689 Issued in MS

Practice address

1151 N State St Ste 212
Jackson, MS 39202-2467

Phone

(601) 352-7398

NPI assigned

Oct 18, 2019

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

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, 1996

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Killebrew Psychological Services, LLC

  • Psychologist
  • Ridgeland, MS
  • NPI 1073988051
  Medicare reassignment Care Compare group NPD
• Live Oak Psychological Associtaes

  • Clinical Psychologist
  • Jackson, MS
  • NPI 1750577805
  NPD

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1245873595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LAKEVIEW CT",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107125",
            "telephone_number": "601-259-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST STE 212",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022467",
            "telephone_number": "601-352-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "SUSAN",
        "middle_name": "VICKERY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Herndon, M.D.
• Heroic Home Health
• Sarah Jane Herrin, L.C.S.W.
• Vincent E. Herrin, MD
• Barbara Joanna Herring, NP
• Anna Herrington Thomas
• Betty L Herrington, MD
• Charles David Herrington
• Elizabeth Herrington, D.O.
• Jimmie Herrington

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.