Deborah M Sebrell, M.A., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S2527 Issued in MS

Practice address

1635 Boling St
Jackson, MS 39213-4418

Phone

(601) 366-0123

Fax

(601) 366-0649

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448

  Speech-Language Pathologist

  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)
• Willowood Developmental Center

  • Developmentally Disabled Services Day Training Agency
  • Jackson, MS
  • NPI 1174991855
  NPD (past)
• Willowood Developmental Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jackson, MS
  • NPI 1831243070

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1821188285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRISCO ST",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104601",
            "telephone_number": "601-668-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 BOLING ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134418",
            "telephone_number": "601-366-0123",
            "fax_number": "601-366-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBRELL",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125045",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Rushing Sears, MD
• Bridget Seaton
• Angelica Seawood
• Jocelyn Patrice Seawood, FNP-C
• Ashley Heath Seawright, ACNP
• Second Chance Health & Wellness LLC
• Second Chance Outreach Learning Center
• Felicia Sedwick
• David Ronald Segrest, M.D.
• Tanja Seifen, PHD

• Speech-Language Pathologist in Jackson, MS
• Providers in Jackson, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.