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RICHARD POTTLE AYCOCK
NPI 1376185009
Peer Specialist in Gautier, MS

Active since October 15, 2019
3407 SHAMROCK CT, GAUTIER, MS 39553(228) 497-0690 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Pottle Aycock NPPES

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

RICHARD POTTLE AYCOCK (NPI 1376185009) is an individual peer specialist in Gautier, Mississippi and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1376185009
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRICHARD POTTLE AYCOCK
Location Address3407 SHAMROCK CTGautier, MS 39553-5337
Mailing Address3407 Shamrock CtGautier, MS 39553-5337 · (228) 497-0690
Phone(228) 497-0690
Sole ProprietorYes
Enumeration DateOctober 15, 2019
✔ NPI 1376185009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3407 SHAMROCK CT, Gautier, MS 39553
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Other Identifiers 1

Medicaid00018214MS

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.

MS. PEGGY LYNN FENDLEY M.ED.
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
SINGING RIVER SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MRS. JODI LEIGHANN CARLISLE MS COUNSELING PSYCHO
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
LANESHA JOSHUA BSW
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
DANA WEEKS
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
HILARY LOUISE PENNELL B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MS. ANGELA DENISE TOUCHET B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
VALENCIA HENDERSON
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690

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 Richard Aycock's NPI number?

The NPI number for Richard Aycock is 1376185009. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Richard Aycock located?

Richard Aycock practices at 3407 Shamrock Ct, Gautier, MS 39553. The listed phone number is (228) 497-0690.

What is Richard Aycock's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Richard Aycock was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.