Individual provider Active NPI

Jean S Dabit, PH.D., LPC

  • Mental Health Counselor
  • Jackson, MS
National Provider Identifier
1801998471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0661 Issued in MS
Practice address
11 Northtown Dr
Suite 205B
Jackson, MS 39211-3699
Phone
(601) 977-0660
Fax
(601) 977-9188
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0661 MS Primary

Addresses

Primary practice location

11 Northtown Dr
Suite 205B
Jackson, MS 39211-3699

Mailing address

11 Northtown Dr
Suite 205B
Jackson, MS 39211-3699
Phone (601) 977-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0661MSMDPeer Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801998471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NORTHTOWN DR",
            "address_2": "SUITE 205B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113699",
            "telephone_number": "601-977-0660",
            "fax_number": "601-977-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTHTOWN DR",
            "address_2": "SUITE 205B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113699",
            "telephone_number": "601-977-0660",
            "fax_number": "601-977-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABIT",
        "first_name": "JEAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "0661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.