Jacqueline Richardson, MSW – Mental Health Counselor

Key facts

NPI: 1720744378
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 43 Dr Martin Luther King Jr Dr
Macon, MS 39341-2734
Phone: (662) 726-5042
Fax: (662) 726-5009
NPI assigned: Nov 9, 2021
Sex: Female
Sole proprietor: No

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.

Region Seven Mental Health Idd Commission Mental Health Clinic/Center (Including Community Mental Health Center) · Macon, MS · NPI 1578680005

NPD MENTAL HEALTH
Region Seven Mental Health Intellectual Disabilities Comm Mental Health Clinic/Center (Including Community Mental Health Center) · West Point, MS · NPI 1700894730

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Region Seven Mental Health Idd Commission	Mental Health	Current since Aug 4, 2024	Accepting new patients
Region Seven Mental Health Intellectual Disabilities Comm		Past since Nov 16, 2021	Accepting new patients

Locations

43 Dr Martin Luther King Jr Dr
Macon, MS 39341
Phone (662) 726-5042

302 N Jackson St
Starkville, MS 39759
Phone (662) 323-9261

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

43 Dr Martin Luther King Jr Dr
Macon, MS 39341-2734

Mailing address

1867 Crane Ridge Dr Ste 150C
Jackson, MS 39216-4910
Phone (769) 251-5550

Other providers in Macon, MS

Latonya Pryor Key, MS
Naim U. Rahman, M.D.
RCG Mississippi, Inc.
Region Seven Mental Health Idd Commission
Margaret Rice, MS
Janice Noland Robertson, CFNP
Tymetric Antoin Robinson, MD
Amber Eaves Rogers, PHARM. D
Marlee Sellers, FNP-C
Tyisha Shields, MA

All providers in Macon, MS · Mental Health Counselor in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.