JERRY DEAN WORSHAM JR. LPC
NPI 1336339498
Counselor - Mental Health in Oxford, MS
About Jerry Dean Worsham Jr. Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY DEAN WORSHAM JR. LPC (NPI 1336339498) is an individual mental health provider in Oxford, Mississippi, licensed in Mississippi (795) and active in the NPI registry since July 2007. He has opted out of Medicare through March 19, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jerry Dean Worsham Jr. Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2025 through March 19, 2027.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jerry Worsham's NPI number?
The NPI number for Jerry Worsham is 1336339498. It was assigned to this individual provider in the NPPES registry on July 25, 2007.
Where is Jerry Worsham located?
Jerry Worsham practices at 510 Azalea Dr, Oxford, MS 38655. The listed phone number is (662) 513-3411.
What is Jerry Worsham's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jerry Worsham enrolled in Medicare?
No. Jerry Worsham has opted out of Medicare through March 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jerry Worsham was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jerry Dean Worsham Jr., LPC · NPI 1336339498
Mental Health provider in Oxford, Mississippi. Individual provider, active in the CMS NPPES registry since July 25, 2007.
## Identity
- **NPI:** 1336339498 (Entity type: Individual)
- **Enumerated:** July 25, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 795 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 AZALEA DR, Oxford, MS 38655-8114
- **Phone:** (662) 513-3411
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 19, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 25, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1336339498) · Data from the CMS NPPES public registry.