Organization Active NPI

Lakeland Drive Counseling, LLC

  • Clinical Psychologist
  • Jackson, MS
National Provider Identifier
1831665462
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAKELAND DRIVE COUNSELING, LLC
Practice address
1855 Crane Ridge Dr Ste C
Jackson, MS 39216-4944
Phone
(769) 218-8298
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Dr. Mary Sheree Bailey, PH.D.NPI 1285899930
Title
Owner
Phone
(769) 218-8298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1855 Crane Ridge Dr Ste C
Jackson, MS 39216-4944

Mailing address

1855 Crane Ridge Dr Ste C
Jackson, MS 39216-4944
Phone (769) 218-8298

Other names 1

  • Bailey Psychological Consulting, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

499 Keywood Cir
#B
Flowood, MS 39232
Phone (601) 759-1970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1831665462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 CRANE RIDGE DR STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164944",
            "telephone_number": "769-218-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 CRANE RIDGE DR STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164944",
            "telephone_number": "769-218-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND DRIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "769-218-8298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bailey Psychological Consulting, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bailey Psychological Consulting, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.