Brandy Gillard, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

M10049 Issued in MS

Practice address

1867 Crane Ridge Dr Ste 150C
Jackson, MS 39216-4910

Phone

(769) 251-5550

NPI assigned

Jan 6, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Region IV Mental Health Services-Tippah County Children'S Office

  • Community/Behavioral Health Agency
  • Ripley, MS
  • NPI 1689009375
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1972142065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DR STE 150C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164910",
            "telephone_number": "769-251-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DR STE 150C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164910",
            "telephone_number": "769-251-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLARD",
        "first_name": "BRANDY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "M10049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardip Gill, MD
• Jordan Gill
• Nathan Stephen Gill, D.O.
• Sandeep Kaur Gill
• Virginia Caitlin Gill
• Mary Elizabeth Gillespie Perry
• John Philip Gillespie, DMD
• Ardarian Gilliam-Pierre, M.D.
• Claire N Gilliam, M.D.
• David Edward Gilliam, M.D.

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.