Individual provider Active NPI

Amy Elizabeth Hodgson, ED.S., LPC-S, NCC

  • Professional Counselor
  • Laurel, MS
National Provider Identifier
1982838314
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1310 Issued in MS
Practice address
9 County Road 153
Laurel, MS 39443-8827
Phone
(601) 670-1377
NPI assigned
May 13, 2009
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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 1310 MS Primary

Addresses

Primary practice location

9 County Road 153
Laurel, MS 39443-8827

Mailing address

9 County Road 153
Laurel, MS 39443-8827
Phone (601) 670-1377

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
I20241204002448 MS Practitioner - Mental Health Counselor 1153857933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Killebrew Psychological Services LLCGroup PAC ID 8426330226, 15 clinicians
Cypress Counseling Company, LLCGroup PAC ID 5193245066, 4 clinicians

Practice addresses (Care Compare)

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

310 N Magnolia St
Suite 101
Laurel, MS 39440-3932
Phone (601) 265-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1310MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Killebrew Psychological Services, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1982838314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COUNTY ROAD 153",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394438827",
            "telephone_number": "601-670-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COUNTY ROAD 153",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394438827",
            "telephone_number": "601-670-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "ED.S., LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2021-09-29",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.