Active NPI
Jessica Gibson Dean, LPC, NCC, BC-TMH
- Professional Counselor
- Natchez, MS
National Provider Identifier
1770090193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2235
- Practice address
- 11 Roselawn Dr
Natchez, MS 39120-4069 - Phone
- (601) 870-3905
- Fax
- (601) 442-9294
- NPI assigned
- Jan 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 2235 | MS | Primary |
Addresses
Primary practice location
11 Roselawn Dr
Natchez, MS 39120-4069
Mailing address
143 Morgantown Rd
Natchez, MS 39120-2147
Phone (601) 870-3905
Other practice location 1
418 Liberty Rd
Natchez, MS 39120-4314
Phone (601) 653-0936
Other practice location 2
143 Morgantown Rd
Natchez, MS 39120-2147
Phone (601) 870-3905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03620881 | Medicaid | MS | |
| 1136077 | Other | MS | CLARITY COUNSELING GROUP, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2235 | MS | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Counseling Group. PLLC | Mental Health | Current | Accepting new patients |
| Family Connections Counseling Center LLC | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Natchez, MS
- NPI 1144854860
-
- Clinical Social Worker
- Natchez, MS
- NPI 1497200570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1770090193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 MORGANTOWN RD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391202147",
"telephone_number": "601-870-3905",
"fax_number": "601-442-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ROSELAWN DR",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204069",
"telephone_number": "601-870-3905",
"fax_number": "601-442-9294"
}
],
"practiceLocations": [
{
"address_1": "418 Liberty Rd",
"address_purpose": "LOCATION",
"city": "Natchez",
"state": "MS",
"postal_code": "391204314",
"country_code": "US",
"telephone_number": "601-653-0936",
"fax_number": "601-653-4248",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "143 Morgantown Rd",
"address_purpose": "LOCATION",
"city": "Natchez",
"state": "MS",
"postal_code": "391202147",
"country_code": "US",
"telephone_number": "601-870-3905",
"fax_number": "601-442-9294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "JESSICA",
"middle_name": "GIBSON",
"name_prefix": "Mrs.",
"credential": "LPC, NCC, BC-TMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03620881",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLARITY COUNSELING GROUP, PLLC",
"identifier": "1136077",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.