DR. BRENT WADE POWELL PHD, LPC
NPI 1417637901
Counselor - Professional in Oxford, MS

Q: What is Brent Powell's NPI number?

The NPI number for Brent Powell is 1417637901. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Q: What is Brent Powell's specialty?

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

Q: Is Brent Powell enrolled in Medicare?

No. Brent Powell has opted out of Medicare through March 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Brent Powell was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 July 20, 2023Opted out of Medicare · through Mar 17, 2027

202 ENTERPRISE DR, OXFORD, MS 38655(833) 292-9355 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2025, Jul 20, 2023 (2 updates tracked since 2023).

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About Dr. Brent Wade Powell Phd, Lpc NPPES

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

DR. BRENT WADE POWELL PHD, LPC (NPI 1417637901) is an individual professional provider in Oxford, Mississippi, licensed in Mississippi (2765) and active in the NPI registry since July 2023. He has opted out of Medicare through March 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417637901

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. BRENT WADE POWELLCredential: PHD, LPC

Location Address202 ENTERPRISE DROxford, MS 38655-2761

Mailing Address309 Lewis LnOxford, MS 38655-2011 · (737) 222-1884

Phone(833) 292-9355

Sole ProprietorYes

Enumeration DateJuly 20, 2023

Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration

NPPES CertifiedDecember 31, 2025

✔ NPI 1417637901 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 · 2765

202 ENTERPRISE DR, Oxford, MS 38655

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brent Wade Powell Phd, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2025 through March 17, 2027.

Opt-Out Effective DateMarch 17, 2025

Opt-Out In Effect ThroughMarch 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 11

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

LISA ROSS

Counselor (Professional)