Jeanie Woolledge, PHD

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3235 Issued in MS

Practice address

116 E Canal St
Picayune, MS 39466-4500

Phone

(504) 628-4882

NPI assigned

Nov 18, 2014

Last updated

Dec 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Behavioral Health Services

  dba Holistic Solutions Clinic

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1588345201
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• Roots Counseling Coaching and Consultation LLC

  • Community/Behavioral Health Agency
  • Picayune, MS
  • NPI 1215794771
  Medicare reassignment
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Genesis Behavioral Health Services

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Baton Rouge, LA
  • NPI 1093195141
  NPD (past)

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1922404912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PATRICE RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394668159",
            "telephone_number": "504-628-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664500",
            "telephone_number": "504-628-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEDGE",
        "first_name": "JEANIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Goynes Williams, PHYSICAL THERAPIST
• Willow Bend Emergency Group, LLC
• Allison Makayla Wilson
• Natasha Wilson, HAIR LOSS SPECIALIST
• Virginia Wilson, LPC
• Jed Dean Zak, CRNA

• Counselor in Picayune, MS
• Providers in Picayune, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.