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SHERRY BOULDIN LPC
NPI 1053784918
Counselor - Professional in Jackson, MS

Active since November 01, 2015PECOS EnrolledAccepts Medicare Assignment
4500 I 55 N, SUITE 220, JACKSON, MS 39211(601) 927-8729 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2025, Jul 6, 2022, Feb 11, 2021 and 1 more (4 updates tracked since 2018).

About Sherry Bouldin Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERRY BOULDIN LPC (NPI 1053784918) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (1995) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1053784918
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHERRY BOULDINCredential: LPC
Location Address4500 I 55 N, SUITE 220Jackson, MS 39211-5930
Mailing AddressPo Box 12195Jackson, MS 39236-2195 · (601) 292-6260
Phone(601) 927-8729
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 1, 2015
Last NPPES UpdateSeptember 17, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1053784918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 1995
Also ListedCounselorTaxonomy 101Y00000X · License 1995 (MS)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1995 (MS)
Also ListedPsychoanalystTaxonomy 102L00000X · License 1995 (MS)
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1995 (MS)
4500 I 55 N, Jackson, MS 39211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sherry Bouldin Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476986787
PECOS Enrollment IDI20240320004308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE M AUSTIN OTR/L
Occupational Therapist
4500 I 55 N, SUITE 291, HIGHLAND VILLAGE
JACKSON, MS 39211
Hinds County (601) 362-0859
SHARONDA TURNER
Speech-Language Pathologist
4500 I 55 N, SUITE 291
JACKSON, MS 39211
Hinds County (601) 362-0859
MRS. CHERYL DIANNE HAWLEY MA/CCC/SLP
Speech-Language Pathologist
4500 I 55 N, HIGHLAND VILLAGE STE 291
JACKSON, MS 39211
Hinds County (601) 362-0859
CAMILLE SANDIFER, DMD, MSD INC
Dentist (Orthodontics and Dentofacial Orthopedics)
4500 I 55 N, HIGHLAND VILLAGE #247
JACKSON, MS 39211
Hinds County (601) 981-5004
SHONTIA VASH'E MORRIS LPC
Counselor (Professional)
4500 I 55 N, SUITE 220
JACKSON, MS 39211
Hinds County (601) 613-7569
LEAH VERNON LPC
Counselor (Professional)
4500 I 55 N
JACKSON, MS 39211
Hinds County (601) 405-7440
MRS. STEPHANIE LYNN ALLMAN M.S.
Speech-Language Pathologist
4500 I 55 N, HIGHLAND VILLAGE STE 291
JACKSON, MS 39211
Hinds County (601) 362-0859
MS. VANESSA ATKINSON SMITH MS, CCC-SLP
Speech-Language Pathologist
4500 I 55 N, SUITE 291
JACKSON, MS 39211
Hinds County (601) 362-0859

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sherry Bouldin's NPI number?

The NPI number for Sherry Bouldin is 1053784918. It was assigned to this individual provider in the NPPES registry on November 1, 2015.

Where is Sherry Bouldin located?

Sherry Bouldin practices at 4500 I 55 N Suite 220, Jackson, MS 39211. The listed phone number is (601) 927-8729.

What is Sherry Bouldin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sherry Bouldin enrolled in Medicare?

Yes. Sherry Bouldin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sherry Bouldin accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Sherry Bouldin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sherry Bouldin was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.