Organization Active NPI

Delta Autumn Consulting, LLC

  • Clinical Psychologist
  • Oxford, MS
National Provider Identifier
1811288533
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DELTA AUTUMN CONSULTING, LLC
Practice address
2708 W Oxford Loop Ste 115B
Oxford, MS 38655-5724
Phone
(662) 259-0868
NPI assigned
Apr 28, 2011
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Dr. John Young, PH.D.
Title
Coo and Co-Owner
Phone
(662) 202-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

2708 W Oxford Loop Ste 115B
Oxford, MS 38655-5724

Mailing address

2708 W Oxford Loop Ste 115B
Oxford, MS 38655-5724
Phone (662) 259-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823000750 MS Part B Supplier - Clinic/Group Practice 0042480410 Receives reassigned benefits from 3 practitioners
Practice locations: Oxford, MS

National Provider Directory

National Provider Directory

Locations

101 Ricky D Britt SR Blvd
Ste 1B
Oxford, MS 38655
Phone (662) 259-0868

2708 West Oxford Loop
Ste 115
Oxford, MS 38655
Phone (662) 259-0868

2708 West Oxford Loop
Ste 115B
Oxford, MS 38655
Phone (662) 259-0868

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1811288533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 W OXFORD LOOP STE 115B",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555724",
            "telephone_number": "662-259-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 W OXFORD LOOP STE 115B",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555724",
            "telephone_number": "662-259-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA AUTUMN CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO AND CO-OWNER",
        "authorized_official_telephone_number": "662-202-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.