Jessie Lee Davis, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3075 Issued in MS

Practice address

4500 Interstate 55 North
Suite 208
Jackson, MS 39211

Phone

(601) 292-6260

Fax

(601) 487-8115

NPI assigned

May 23, 2024

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mindful Solutions, LLC

  • Professional Counselor
  • Jackson, MS
  • NPI 1083176218
  NPD

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1609615079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 NAPOLEON AVE",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392086337",
            "telephone_number": "601-985-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 INTERSTATE 55 NORTH",
            "address_2": "SUITE 208",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "telephone_number": "601-292-6260",
            "fax_number": "601-487-8115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Interstate 55 North",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39211",
            "country_code": "US",
            "telephone_number": "601-460-4569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2575 Napoleon Ave",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "392086337",
            "country_code": "US",
            "telephone_number": "601-985-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSIE",
        "middle_name": "LEE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Hunter Davis, RN
• Jared Michael Davis, M.D.
• Jessica Diamond Davis, CRNA
• Jessica Lauren Davis, LPC
• Jessica McDowell Davis, FNP-C
• Joey Davis
• Joseph Shannon Davis, CRNA
• Kamryn Davis
• Lakeisha Davis
• Lamar Davis II, M.D.

• Professional Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.