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MR. JONNY BERRY LPC
NPI 1124724539
Counselor in Jackson, MS

Active since February 07, 2023PECOS Enrolled
971 LAKELAND DR STE 654, JACKSON, MS 39216(601) 982-1010(601) 366-0436 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2024, Aug 16, 2023, Feb 7, 2023 (3 updates tracked since 2023).

About Mr. Jonny Berry Lpc NPPES

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

MR. JONNY BERRY LPC (NPI 1124724539) is an individual counselor in Jackson, Mississippi, licensed in Mississippi (2907) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124724539
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JONNY BERRYCredential: LPC
Location Address971 LAKELAND DR STE 654Jackson, MS 39216-4605
Mailing Address971 Lakeland Dr Ste 1159Jackson, MS 39216-4609 · (601) 982-1010 · Fax (601) 366-0436
Phone(601) 982-1010
Fax(601) 366-0436
Sole ProprietorYes
Enumeration DateFebruary 7, 2023
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1124724539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MS · 2907
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.
971 LAKELAND DR STE 654, Jackson, MS 39216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonny Berry Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonny Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Watchman Group Inc.
5.7 mi
Mental Health
599 HIGHLAND COLONY PKWY
Ridgeland, MS 39157
  • Reassigned Medicare billing, Mississippi enrollment
  • 9 clinicians in this Medicare group
NPI 1740904366 (601) 209-6948

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
106 services20 patients

Other Providers at the Same Location NPPES

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

ANDREW CHARLES BISHOP MD
Psychiatry & Neurology (Psychiatry)
971 LAKELAND DR STE 654
JACKSON, MS 39216
Hinds County (601) 982-1010

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 Jonny Berry's NPI number?

The NPI number for Jonny Berry is 1124724539. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Jonny Berry located?

Jonny Berry practices at 971 Lakeland Dr Ste 654, Jackson, MS 39216. The listed phone number is (601) 982-1010.

What is Jonny Berry's specialty?

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

Is Jonny Berry enrolled in Medicare?

Yes. Jonny Berry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonny Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonny Berry reassigns Medicare benefits to Watchman Group Inc. (Ridgeland, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonny Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonny Berry accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Jonny Berry 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 Jonny Berry was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.