1. Home
  2. Directory
  3. Mississippi
  4. Hattiesburg
  5. Counselor
  6. NPI Profile

KELLY THOMPSON PCCSS
NPI 1154044980
Counselor in Hattiesburg, MS

Active since September 26, 2022
110 PATTON AVE, HATTIESBURG, MS 39401(601) 582-1111(601) 450-0765 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Thompson Pccss NPPES

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

KELLY THOMPSON PCCSS (NPI 1154044980) is an individual counselor in Hattiesburg, Mississippi, licensed in Mississippi (3440) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1154044980
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY THOMPSONCredential: PCCSS
Location Address110 PATTON AVEHattiesburg, MS 39401-6155
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Phone(601) 582-1111
Fax(601) 450-0765
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1154044980 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 · 3440
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.
110 PATTON AVE, Hattiesburg, MS 39401
Open in Google Maps ↗

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.

SUNNY JO M YOUNG PCMHT
Counselor
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
LADONNA BARNER
Counselor (Professional)
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
SHATARA PAGE
Social Worker
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
TARA HICKS RN
Registered Nurse
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
ASHLEY MCGARRAH CPSS
Counselor (Mental Health)
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
CARRIE BUTLER CCSS
Counselor
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
TAMECIA MYERS LMSW
Social Worker (Clinical)
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
ILYSSA CLAXTON CCSS
Case Manager/Care Coordinator
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111

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 Kelly Thompson's NPI number?

The NPI number for Kelly Thompson is 1154044980. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Kelly Thompson located?

Kelly Thompson practices at 110 Patton Ave, Hattiesburg, MS 39401. The listed phone number is (601) 582-1111.

What is Kelly Thompson'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 Kelly Thompson was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.