Individual provider Active NPI

Janice Moore Hopkins Jr., LPC

  • Professional Counselor
  • Clinton, MS
National Provider Identifier
1467997296
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2129 Issued in MS
Practice address
801 E Northside Dr Ste C
Clinton, MS 39056-3663
Phone
(601) 259-6125
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 2129 MS Primary

Addresses

Primary practice location

801 E Northside Dr Ste C
Clinton, MS 39056-3663

Mailing address

801 E Northside Dr Ste C
Clinton, MS 39056-3663
Phone (601) 259-6125

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
I20240318001212 MS Practitioner - Mental Health Counselor 9032556741 Reassigns benefits to 1 organization
Practice locations: Clinton, MS

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2129MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Broken Bridges Counseling & Consultation, LLC Professional CurrentSince Mar 11, 2024 Accepting new patients

Locations

801 E Northside Dr
Ste C
Clinton, MS 39056
Phone (601) 259-6125

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1467997296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NORTHSIDE DR STE C",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563663",
            "telephone_number": "601-259-6125",
            "fax_number": "601-473-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NORTHSIDE DR STE C",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563663",
            "telephone_number": "601-259-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "JANICE",
        "middle_name": "MOORE",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.