Active NPI
Lamarcus Lyles
- Professional Counselor
- Jackson, MS
National Provider Identifier
1326795279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3277
- Practice address
- 135 Bounds St Ste 108C
Jackson, MS 39206-4121 - Phone
- (601) 207-2221
- NPI assigned
- Mar 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3277 | MS | Primary |
Addresses
Primary practice location
135 Bounds St Ste 108C
Jackson, MS 39206-4121
Mailing address
498 Creekstone Dr
Brandon, MS 39047-5048
Phone (601) 398-6614
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
498 Creekstone Dr
Brandon, MS 39047-5048
500 Westover Dr
Sanford, NC 27330-8941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3277 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1326795279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 CREEKSTONE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390475048",
"telephone_number": "601-398-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 BOUNDS ST STE 108C",
"city": "JACKSON",
"state": "MS",
"postal_code": "392064121",
"telephone_number": "601-207-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLES",
"first_name": "LAMARCUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-09",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "3277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.