Active NPI
Jamieka Harris, LMSW
- Mental Health Counselor
- Southaven, MS
National Provider Identifier
1629425517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- M8374
- Practice address
- 8830 Centre St Ste 2
Southaven, MS 38671-2609 - Phone
- (662) 510-5853
- Fax
- (662) 528-4745
- NPI assigned
- May 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | C-8374 | MS | |
| Clinical Social Worker | 1041C0700X | 7381 | TN | |
| Mental Health Counselor | 101YM0800X | M8374 | MS | Primary |
Addresses
Primary practice location
8830 Centre St Ste 2
Southaven, MS 38671-2609
Mailing address
1867 Amhurst CV
Southaven, MS 38671-5133
Phone (662) 404-1429
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- East Carolina University School of Dentistry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8830 Centre St
Suite 2
Southaven, MS 38671-2609
Phone (901) 308-7155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8374 | MS | MD | Mental Health Counselor |
| C-8374 | MS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Solutions Psychiatry, LLC | Current | Accepting new patients | |
| Emotionally Available Counseling | Current | Accepting new patients |
Locations
8830 Centre St
Ste 2
Southaven, MS 38671
Phone (662) 536-6253
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Southaven, MS
- NPI 1932883600
-
- Psychiatric/Mental Health Nurse Practitioner
- Southaven, MS
- NPI 1659241412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1629425517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 AMHURST CV",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715133",
"telephone_number": "662-404-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 CENTRE ST STE 2",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386712609",
"telephone_number": "662-510-5853",
"fax_number": "662-528-4745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JAMIEKA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "C-8374",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7381",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "M8374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.