DR. JEANNE MARIAH LILLY PHD
NPI 1457120545
Psychologist in Clarksdale, MS

Active since December 29, 2023PECOS Enrolled
785 OHIO AVE STE 3E, CLARKSDALE, MS 38614(662) 351-0702(662) 351-0703 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jeanne Mariah Lilly Phd NPPES

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

DR. JEANNE MARIAH LILLY PHD (NPI 1457120545) is an individual psychologist in Clarksdale, Mississippi, licensed in Mississippi (621115) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457120545
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEANNE MARIAH LILLYCredential: PHD
Location Address785 OHIO AVE STE 3EClarksdale, MS 38614-6215
Mailing Address785 Ohio Ave Ste 3eClarksdale, MS 38614-6215 · (662) 351-0702 · Fax (662) 351-0703
Fax(662) 351-0703
Sole ProprietorNo
Enumeration DateDecember 29, 2023
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
NPI 1457120545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MS · 621115
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
785 OHIO AVE STE 3E, Clarksdale, MS 38614

Other Identifiers 1

Medicaid200010527MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jeanne Mariah Lilly Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Sleep Medicine)
785 OHIO AVE STE 3E
CLARKSDALE, MS 38614
Pediatrics (Pediatric Infectious Diseases)
785 OHIO AVE STE 3E
CLARKSDALE, MS 38614

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 Jeanne Lilly's NPI number?

The NPI number for Jeanne Lilly is 1457120545. It was assigned to this individual provider in the NPPES registry on December 29, 2023.

Where is Jeanne Lilly located?

Jeanne Lilly practices at 785 Ohio Ave Ste 3E, Clarksdale, MS 38614. The listed phone number is (662) 351-0702.

What is Jeanne Lilly's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeanne Lilly enrolled in Medicare?

Yes. Jeanne Lilly is registered in the Medicare PECOS enrollment system.

What insurance does Jeanne Lilly accept?

Health plans from Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Jeanne Lilly 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 Jeanne Lilly was last updated on August 7, 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.