DEIDERE HOLLINS LPC-S
NPI 1336521970
Counselor - Professional in Jackson, MS
About Deidere Hollins Lpc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEIDERE HOLLINS LPC-S (NPI 1336521970) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (1628) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pearl, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Deidere Hollins Lpc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Deidere Hollins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39213
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
JACKSON, MS 39209
JACKSON, MS 39209
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 Deidere Hollins's NPI number?
The NPI number for Deidere Hollins is 1336521970. It was assigned to this individual provider in the NPPES registry on June 19, 2015.
Where is Deidere Hollins located?
Deidere Hollins practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2400.
What is Deidere Hollins's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Deidere Hollins enrolled in Medicare?
Yes. Deidere Hollins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Deidere Hollins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deidere Hollins reassigns Medicare benefits to State Of Mississippi- University Of Mississippi Medical Center (Jackson, 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 Deidere Hollins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Deidere Hollins accept?
Health plans from Molina Healthcare list Deidere Hollins 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 Deidere Hollins was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Deidere Hollins, LPC-S · NPI 1336521970
Professional provider in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 19, 2015.
## Identity
- **NPI:** 1336521970 (Entity type: Individual)
- **Enumerated:** June 19, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 1628 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3450 HIGHWAY 80 W, Jackson, MS 39209-7201
- **Phone:** (601) 321-2400 · **Fax:** (601) 985-5174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** State Of Mississippi- University Of Mississippi Medical Center (NPI 1194930693, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 11, 2018
- **Other identifiers:** Medicaid 00018209 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1336521970) · Data from the CMS NPPES public registry.