DR. JOHN STEPHEN SOUTHERN EDD
NPI 1396084786
Counselor - Professional in Jackson, MS

Q: What is John Southern's NPI number?

The NPI number for John Southern is 1396084786. It was assigned to this individual provider in the NPPES registry on February 6, 2013. The provider is also known as Dr. John S Southern.

Q: What is John Southern's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Southern was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 06, 2013

106 SUGALOCH CV, JACKSON, MS 39211(618) 762-0303 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. John Stephen Southern Edd NPPES

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

DR. JOHN STEPHEN SOUTHERN EDD (NPI 1396084786) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (0571) and active in the NPI registry since February 2013. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396084786

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. JOHN STEPHEN SOUTHERNCredential: EDD

Location Address106 SUGALOCH CVJackson, MS 39211-3435

Mailing Address106 Sugaloch CvJackson, MS 39211-3435 · (618) 762-0303

Phone(618) 762-0303

Sole ProprietorYes

Enumeration DateFebruary 6, 2013

Last NPPES UpdateApril 11, 2019

✔ NPI 1396084786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MS · 0571✔ Licensed in TX · 08559

Also ListedPsychologistTaxonomy 103T00000X · License 071009636 (IL), 003695 (PA), 30540 (CA), 071.009636 (IL)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License T0188 (MS)

106 SUGALOCH CV, Jackson, MS 39211

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Other Names 1

Other Name (5)Dr. John S Southern

Secondary Practice Locations 2

Location 12906 N State St, Suite 204Jackson, MS 39216-4233 · Phone (769) 524-4154 · Fax (601) 925-3951

Location 2815B Ocean View BlvdPacific Grove, CA 93950-2229 · Phone (361) 876-2030

Other Identifiers 5

Other30540CA · Psychologist License

Other0571MS · Professional Counselor License

Other071.009636IL · Clinical Psychologist License

OtherPS-003695-LPA · Psychologist License

Other0571TX · Professional Counselor License

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 John Southern's NPI number?

The NPI number for John Southern is 1396084786. It was assigned to this individual provider in the NPPES registry on February 6, 2013. The provider is also known as Dr. John S Southern.

Where is John Southern located?

John Southern practices at 106 Sugaloch Cv, Jackson, MS 39211. The listed phone number is (618) 762-0303.

What is John Southern's specialty?

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

When was this NPI record last updated?

The NPPES record for John Southern was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.