Individual provider Active NPI

Jennifer Marie Ladner-Graham, PHD

  • Psychologist
  • Picayune, MS
National Provider Identifier
1346811338
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
611084 Issued in MS
Practice address
417 W Canal St
Picayune, MS 39466-3951
Phone
(601) 749-9477
Fax
(601) 749-0605
NPI assigned
Jul 9, 2021
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 611084 MS Primary

Addresses

Primary practice location

417 W Canal St
Picayune, MS 39466-3951

Mailing address

417 W Canal St
Picayune, MS 39466-3951
Phone (601) 749-9477

Other names 1

  • Jennifer Marie Ladner Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
611084MSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Counseling LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1346811338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663951",
            "telephone_number": "601-749-9477",
            "fax_number": "601-749-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663951",
            "telephone_number": "601-749-9477",
            "fax_number": "601-749-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER-GRAHAM",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "611084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LADNER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.