Jesse M Mitchell, LCSW, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JESSE M MITCHELL, LCSW, PLLC

Practice address

5 Orleans Dr Ste 3
Hattiesburg, MS 39402-2109

Phone

(662) 304-9043

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Jesse Mae Mitchell, LCSWNPI 1770031643

Title

Owner/Therapist

Phone

(985) 791-1925

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jesse Mitchell, LCSW

  • Clinical Social Worker
  • Hattiesburg, MS
  • NPI 1770031643
  NPD Authorized official

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1376366245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E ANDOVER",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021282",
            "telephone_number": "662-304-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ORLEANS DR STE 3",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022109",
            "telephone_number": "662-304-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE M MITCHELL, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "985-791-1925",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qasim Jehangir, M.D.
• Angela Jenkins, CPSS
• Jazmine Riascos Jenkins
• Tammie R Jenkins, MSN, FNP
• John Jennings, MD
• Christopher Jeu, DO
• Jaime Jimenez Agosto, M.D.
• Chiedza Kristyne Jinya
• John McIntosh Turner
• Carl Edward Johns III, DO

• All providers in Hattiesburg, MS
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.