SALT AND LIGHT COUNSELING LLC
NPI 1356104004
Counselor - Mental Health in Southaven, MS
About Salt And Light Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALT AND LIGHT COUNSELING LLC (NPI 1356104004) is a healthcare organization registered as a mental health in Southaven, Mississippi and active in the NPI registry since February 2024. The organization lists Jeremy Erickson, Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Salt And Light Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Salt And Light Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Salt And Light Counseling LLC's NPI number?
The NPI number for Salt And Light Counseling LLC is 1356104004. It was assigned to this organization in the NPPES registry on February 5, 2024.
Where is Salt And Light Counseling LLC located?
Salt And Light Counseling LLC is located at 232 Goodman Road Suite 305, Southaven, MS 38671. The listed phone number is (662) 571-5539.
What is Salt And Light Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Salt And Light Counseling LLC enrolled in Medicare?
Yes. Salt And Light Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Salt And Light Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Salt And Light Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Salt And Light Counseling LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Salt And Light Counseling Llc · NPI 1356104004
Mental Health organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1356104004 (Entity type: Organization)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jeremy Erickson, THERAPIST
## Practice location
- **Address:** 232 GOODMAN ROAD, SUITE 305, Southaven, MS 38671
- **Phone:** (662) 571-5539
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356104004) · Data from the CMS NPPES public registry.