Individual provider Active NPI

Katharine Jean Laymon, MS, LPCC

  • Professional Counselor
  • Grenada, MS
National Provider Identifier
1396437620
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02868 Issued in MN
Practice address
700 Sunset Dr
Grenada, MS 38901-4091
Phone
(662) 307-2884
Fax
(662) 307-2887
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8035 TN
Professional Counselor 101YP2500X CC02868 MN Primary

Addresses

Primary practice location

700 Sunset Dr
Grenada, MS 38901-4091

Mailing address

131 Coventry LN
Brandon, MS 39042-4403
Phone (763) 258-9936

Other practice location 1

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (317) 627-2329

Other practice location 2

131 Coventry Ln
Brandon, MS 39042-4403
Phone (763) 258-9936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240713000611 MS Practitioner - Mental Health Counselor 9638614662 Reassigns benefits to 1 organization
I20250723004812 TN Practitioner - Mental Health Counselor 9638614662 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CC02868MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

700 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2884

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Organizations & group practices 6

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1396437620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COVENTRY LN",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424403",
            "telephone_number": "763-258-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014091",
            "telephone_number": "662-307-2884",
            "fax_number": "662-307-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643757",
            "country_code": "US",
            "telephone_number": "317-627-2329",
            "fax_number": "931-762-7234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Coventry Ln",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390424403",
            "country_code": "US",
            "telephone_number": "763-258-9936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYMON",
        "first_name": "KATHARINE",
        "middle_name": "JEAN",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "8035",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

Verify at the official NPI Registry.