Active NPI
Patricia Noel Jackson-Wolfe, DPC
- Professional Counselor
- Clinton, MS
National Provider Identifier
1801100417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3369
- Practice address
- 604 Hwy 80 West
Clinton, MS 39056 - Phone
- (601) 473-2106
- NPI assigned
- Aug 6, 2010
- 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 | 3369 | MS | |
| Professional Counselor | 101YP2500X | 3369 | MS | Primary |
Addresses
Primary practice location
604 Hwy 80 West
Clinton, MS 39056
Mailing address
604 Highway 80 W
Clinton, MS 39056-4108
Phone (601) 473-2106
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 |
|---|---|---|---|
| 3369 | MS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1801100417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 HIGHWAY 80 W",
"city": "CLINTON",
"state": "MS",
"postal_code": "390564108",
"telephone_number": "601-473-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 HWY 80 WEST",
"city": "CLINTON",
"state": "MS",
"postal_code": "39056",
"telephone_number": "601-473-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON-WOLFE",
"first_name": "PATRICIA",
"middle_name": "NOEL",
"credential": "DPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "3369",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "3369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.