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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KAMERON YATES
NPI 1093631665
Counselor in Jackson, MS

Active since June 26, 2026
4400 OLD CANTON RD, JACKSON, MS 39211(601) 984-5236 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kameron Yates NPPES

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

KAMERON YATES (NPI 1093631665) is an individual counselor in Jackson, Mississippi and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1093631665
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKAMERON YATES
Location Address4400 OLD CANTON RDJackson, MS 39211-5982
Mailing Address1015 Clark LnHazlehurst, MS 39083-8835
Phone(601) 984-5236
Sole ProprietorYes
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1093631665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4400 OLD CANTON RD, Jackson, MS 39211
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

SAVANNA MULLINS NORFLEET LPC
Counselor (Professional)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-2080
NAKESHIA OWENS
Student in an Organized Health Care Education/Training Program
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236
BETTY JOY GAY BS
Counselor
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236
SARA WITHROW NP
Nurse Practitioner (Family)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236
CHRISTINE GUIDRY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236
JENNIFER JOHNSON LCSW
Social Worker (Clinical)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-4465
THERESA HO
Counselor (Mental Health)
4400 OLD CANTON RD
JACKSON, MS 39211
Hinds County (601) 984-5236

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 Kameron Yates's NPI number?

The NPI number for Kameron Yates is 1093631665. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Kameron Yates located?

Kameron Yates practices at 4400 Old Canton Rd, Jackson, MS 39211. The listed phone number is (601) 984-5236.

What is Kameron Yates's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kameron Yates was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.