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JAYME SULLIVAN LPC
NPI 1376128306
Counselor - Professional in Vicksburg, MS

Active since March 11, 2021PECOS Enrolled
1414 CHERRY ST, VICKSBURG, MS 39180(601) 636-5703(769) 230-3039 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jayme Sullivan Lpc NPPES

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

JAYME SULLIVAN LPC (NPI 1376128306) is an individual professional provider in Vicksburg, Mississippi, licensed in Mississippi (108) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376128306
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAYME SULLIVANCredential: LPC
Location Address1414 CHERRY STVicksburg, MS 39180-3218
Mailing Address1414 Cherry StVicksburg, MS 39180-3218 · (601) 636-5703
Phone(601) 636-5703
Fax(769) 230-3039
Sole ProprietorNo
Enumeration DateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1376128306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 108
1414 CHERRY ST, Vicksburg, MS 39180
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jayme Sullivan Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WALTER LEE FRAZIER MCP, LPC, NCC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
HAROLD MELANCON LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
TAMMANI TREVILLION LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
GRACE CHRISTIAN COUNSELING CENTER
Marriage & Family Therapist
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
MRS. CHANEY CARLUCCI LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
STACI FLORIE WIGELSWORTH M.ED., NCC, P-LPC
Counselor
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
MS. SAMONIA LYNN ETHERIDGE LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
MRS. KATHRYN WRIGHT LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703

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 Jayme Sullivan's NPI number?

The NPI number for Jayme Sullivan is 1376128306. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Jayme Sullivan located?

Jayme Sullivan practices at 1414 Cherry St, Vicksburg, MS 39180. The listed phone number is (601) 636-5703.

What is Jayme Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jayme Sullivan enrolled in Medicare?

Yes. Jayme Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Jayme Sullivan accept?

Health plans from Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Jayme Sullivan 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 Jayme Sullivan was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.