JERRY DEAN WORSHAM JR. LPC
NPI 1336339498
Counselor - Mental Health in Oxford, MS
- Individual
- Male
- Counselor
- Mental Health
- PECOS Enrolled
- Opted-Out Medicare
About JERRY WORSHAM
This page provides the complete NPI Profile along with additional information for Jerry Worsham, a provider established in Oxford, Mississippi with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1336339498 assigned on July 2007. The practitioner's primary taxonomy code is 101YM0800X with license number 795 (MS). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1336339498 Verify this NPI
- Provider Name
- JERRY DEAN WORSHAM JR. LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 510 AZALEA DR OXFORD, MS 38655
- Location Phone
- (662) 513-3411
- Mailing Address
- 510 AZALEA DR OXFORD, MS 38655
- Mailing Phone
- (662) 513-3411
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2007
- Last Update Date
- 07-25-2007
- Code Navigator
A mental health counselor like Jerry Worsham provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jerry Worsham opted out of Medicare effective on 03-19-2025 until 03-19-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 795
- License State
- MS
Medicare Participation & PECOS Enrollment Status
Jerry Worsham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-19-2025
Opt-Out End Date: 03-19-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336339498, enumerated as an "individual" on July 25, 2007.
The provider is located at 510 AZALEA DR OXFORD, MS 38655 and the phone number is (662) 513-3411.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
