Katherine B Lewis, LPC, ICADC II, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3080 Issued in MS

Practice address

210 W Jackson St
Ridgeland, MS 39157-2312

Phone

(601) 525-6093

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Killebrew Psychological Services LLCGroup PAC ID 8426330226, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1366186785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 HERNDON RD",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394515159",
            "telephone_number": "601-525-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W JACKSON ST",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572312",
            "telephone_number": "601-525-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190C River St",
            "address_purpose": "LOCATION",
            "city": "Leakesville",
            "state": "MS",
            "postal_code": "394516516",
            "country_code": "US",
            "telephone_number": "601-514-2443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 Herndon Rd",
            "address_purpose": "LOCATION",
            "city": "Leakesville",
            "state": "MS",
            "postal_code": "394515159",
            "country_code": "US",
            "telephone_number": "601-525-6093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KATHERINE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LPC, ICADC II, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3080",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "AD18-019L",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "1625790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Richardson LPC LLC
• Lending a Hand (Felicia Cameron)
• Lindsey E Lepard, PHARM.D.
• Sadie Myers Lett, NUREE
• Skyler Alyss Lewis- Jackson, MSW
• Kenya Lewis
• Warren H Lewis
• Lice Clinics of American - Central Mississippi, LLC
• Life Source Services, LLC (Pax Hospice)
• Lasonja L Lightfoot, MS

• 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 May 20, 2026; 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.