JEREMY ERICKSON MAMFTC
NPI 1396225504
Counselor - Professional in Southaven, MS
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, maintains 2 additional practice locations, and is a graduate of University Of Tennessee, Hsc, College Of Medicine.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Erickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southaven, MS 38671
- Reassigned Medicare billing, Mississippi enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Jeremy Erickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Erickson reassigns Medicare benefits to Salt And Light Counseling LLC (Southaven, MS). The 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 Jeremy Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Erickson accept?
Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Jeremy Erickson 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 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.
# Jeremy Erickson, MAMFTC · NPI 1396225504
Professional provider in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since August 16, 2018.
## Identity
- **NPI:** 1396225504 (Entity type: Individual)
- **Enumerated:** August 16, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2608 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 232 GOODMAN RD W STE 305, Southaven, MS 38671-8004
- **Phone:** (662) 856-9563
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Salt And Light Counseling LLC (NPI 1356104004, Southaven, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine
## Record status
- **NPPES last updated:** April 3, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1396225504) · Data from the CMS NPPES public registry.