Individual provider Active NPI

Debra Lee Carr, L.P.C., L.M.F.T.

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1396847885
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0914 Issued in MS
Practice address
2654 Ridgewood Rd
Jackson, MS 39216-4903
Phone
(601) 297-6295
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0914 MS Primary

Addresses

Primary practice location

2654 Ridgewood Rd
Jackson, MS 39216-4903

Mailing address

615 Arrowhead Dr
Jackson, MS 39216-3202
Phone (601) 297-6295

Other practice location 1

505 Cobblestone Ct Ste A
Madison, MS 39110-7570
Phone (601) 297-6295

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251120004109 MS Practitioner - Mental Health Counselor 0547752214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness Institute IncGroup PAC ID 8820580590, 2 clinicians

Practice addresses (Care Compare)

2654 Ridgewood Rd
Suite a
Jackson, MS 39216-4903
Phone (601) 946-0385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0914MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Institute Inc Professional CurrentSince Sep 13, 2025 Accepting new patients
Wesley Physician Services LLC Professional Past Accepting new patients

Locations

2654 Ridgewood Rd
#A
Jackson, MS 39216
Phone (601) 946-0385

2654 Ridgewood Rd
Jackson, MS 39216
Phone (601) 297-6295

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4

Organizations & group practices 2

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1396847885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ARROWHEAD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392163202",
            "telephone_number": "601-297-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 RIDGEWOOD RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164903",
            "telephone_number": "601-297-6295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Cobblestone Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391107570",
            "country_code": "US",
            "telephone_number": "601-297-6295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.P.C., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.