Organization Active NPI

Wyatt & Walker LLC

  • Mental Health Counselor
  • Jackson, MS
National Provider Identifier
1336815646
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WYATT & WALKER LLC
Practice address
2525 Lakeward Dr Ste 110
Jackson, MS 39216-4827
Phone
(601) 981-8846
Fax
(601) 981-8873
NPI assigned
Aug 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Catherine Ashy
Title
Billing Manager
Phone
(601) 953-8420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2525 Lakeward Dr Ste 110
Jackson, MS 39216-4827

Mailing address

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911003776 MS Part B Supplier - Clinic/Group Practice 6901260801 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1336815646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 LAKEWARD DR STE 110",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164827",
            "telephone_number": "601-981-8846",
            "fax_number": "601-981-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 LAKEWARD DR STE 110",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164827",
            "telephone_number": "601-981-8846",
            "fax_number": "601-981-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT & WALKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "ASHY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "601-953-8420"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.