Individual provider Active NPI

Jamieka Harris, LMSW

  • Mental Health Counselor
  • Southaven, MS
National Provider Identifier
1629425517
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
M8374 Issued in MS
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

Updated by the provider on May 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201000117 MS Practitioner - Clinical Social Worker 7214380625 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
M8374MSMDMental Health Counselor
C-8374MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Solutions Psychiatry, LLC CurrentSince Nov 9, 2025 Accepting new patients
Emotionally Available Counseling CurrentSince Nov 10, 2023 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.

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

Verify at the official NPI Registry.