Individual provider Active NPI

Christopher Wayne Sartin I, LPC

  • Professional Counselor
  • Ridgeland, MS
National Provider Identifier
1962399840
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3310 Issued in MS
Practice address
241 Sunnybrook Rd
Ridgeland, MS 39157-2206
Phone
(769) 231-9414
Fax
(601) 707-7291
NPI assigned
Jun 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3310 MS Primary

Addresses

Primary practice location

241 Sunnybrook Rd
Ridgeland, MS 39157-2206

Mailing address

241 Sunnybrook Rd
Ridgeland, MS 39157-2206
Phone (769) 231-9414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260121003267 MS Practitioner - Mental Health Counselor 2769969781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Killebrew Psychological Services LLCGroup PAC ID 8426330226, 15 clinicians

Practice addresses (Care Compare)

210 W Jackson St
Ridgeland, MS 39157-2312
Phone (769) 231-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Killebrew Psychological Services, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

241 Sunnybrook Rd
Ridgeland, MS 39157
Phone (769) 231-9414

210 W Jackson St
Ridgeland, MS 39157
Phone (601) 672-3841

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1962399840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SUNNYBROOK RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572206",
            "telephone_number": "769-231-9414",
            "fax_number": "601-707-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SUNNYBROOK RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572206",
            "telephone_number": "769-231-9414",
            "fax_number": "601-707-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "name_suffix": "I",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.