Individual provider Active NPI

Jocinta Rockingham Purvis, LPC

  • Mental Health Counselor
  • Jackson, MS
National Provider Identifier
1528803103
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3126 Issued in MS
Practice address
1855 Crane Ridge Dr Ste C
Jackson, MS 39216-4944
Phone
(601) 650-2765
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3126 MS Primary

Addresses

Primary practice location

1855 Crane Ridge Dr Ste C
Jackson, MS 39216-4944

Mailing address

1140 Ridgewood Blvd
Jackson, MS 39211-2740
Phone (601) 608-8949

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
I20250911005187 MS Practitioner - Mental Health Counselor 4183127467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1855 Crane Ridge Dr
Suite C
Jackson, MS 39216-4981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Purvis Counseling & Consulting LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

1855 Crane Ridge Dr
Ste C
Jackson, MS 39216
Phone (601) 608-8949

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1528803103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 RIDGEWOOD BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112740",
            "telephone_number": "601-608-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 CRANE RIDGE DR STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164944",
            "telephone_number": "601-650-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "JOCINTA",
        "middle_name": "ROCKINGHAM",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.