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JEREMY ERICKSON MAMFTC
NPI 1396225504
Counselor - Professional in Southaven, MS

Active since August 16, 2018PECOS EnrolledAccepts Medicare Assignment
232 GOODMAN RD W STE 305, SOUTHAVEN, MS 38671(662) 856-9563 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Nov 17, 2022, Apr 27, 2021 and 1 more (4 updates tracked since 2018).

About Jeremy Erickson Mamftc NPPES

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

JEREMY ERICKSON MAMFTC (NPI 1396225504) is an individual professional provider in Southaven, Mississippi, licensed in Mississippi (2608) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine.

NPPES Registry Identity

NPI1396225504
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEREMY ERICKSONCredential: MAMFTC
Location Address232 GOODMAN RD W STE 305Southaven, MS 38671-8004
Mailing Address232 Goodman Rd W Ste 305Southaven, MS 38671-8004 · (662) 856-9563
Phone(662) 856-9563
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of Medicine
Enumeration DateAugust 16, 2018
Last NPPES UpdateApril 3, 20244 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1396225504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MS · 2608✔ Licensed in AR · A1708258
232 GOODMAN RD W STE 305, Southaven, MS 38671
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Erickson Mamftc 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.

PECOS PAC ID9537691357
PECOS Enrollment IDI20241018000299
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.

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 Jeremy Erickson's NPI number?

The NPI number for Jeremy Erickson is 1396225504. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Jeremy Erickson located?

Jeremy Erickson practices at 232 Goodman Rd W Ste 305, Southaven, MS 38671. The listed phone number is (662) 856-9563.

What is Jeremy Erickson's specialty?

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

Is Jeremy Erickson enrolled in Medicare?

Yes. Jeremy Erickson 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.

When was this NPI record last updated?

The NPPES record for Jeremy Erickson 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.