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ELIJAH MCDANIEL
NPI 1306775333
Counselor - Mental Health in Jackson, MS

Active since May 15, 2026
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2400 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elijah Mcdaniel NPPES

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

ELIJAH MCDANIEL (NPI 1306775333) is an individual mental health provider in Jackson, Mississippi, licensed in Mississippi (P-1488) and active in the NPI registry since May 2026. He maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1306775333
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameELIJAH MCDANIEL
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address459 Buena Vista AveJackson, MS 39209-6406 · (662) 588-2060
Phone(601) 321-2400
Sole ProprietorNo
Enumeration DateMay 15, 2026
NPPES CertifiedMay 15, 2026
✔ NPI 1306775333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MS · P-1488
3450 HIGHWAY 80 W, Jackson, MS 39209
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Secondary Practice Location 1

Location 11815 Hospital DrJackson, MS 39204-3425 · Phone (769) 233-7429

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.

ELLEEANNA LAWSON CAT,LMSW
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
MEGAN M MCCARTY LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANGELA NICOLE CHILDRESS LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MRS. EBONY HUMPHERY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANDRIA WILLIS BSW
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (769) 257-4562
BRENDA WALKER
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
EVE WILLIAMS
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MS. ANGELICA GOWDY PCMHT
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400

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 Elijah Mcdaniel's NPI number?

The NPI number for Elijah Mcdaniel is 1306775333. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Elijah Mcdaniel located?

Elijah Mcdaniel practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2400.

What is Elijah Mcdaniel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Elijah Mcdaniel was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.