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JIMMY FRAZIER
NPI 1518168228
Counselor in Jackson, MS

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
3012 RIDGELAND DR, JACKSON, MS 39212(601) 572-3700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jimmy Frazier NPPES

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

JIMMY FRAZIER (NPI 1518168228) is an individual counselor in Jackson, Mississippi and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1518168228
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJIMMY FRAZIER
Location Address3012 RIDGELAND DRJackson, MS 39212-2519
Mailing Address3012 Ridgeland DrJackson, MS 39212-2519 · (601) 572-3700
Phone(601) 572-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518168228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3012 RIDGELAND DR, Jackson, MS 39212
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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

Jimmy Frazier 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 ID3577045194
PECOS Enrollment IDI20260303004252
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 Jimmy Frazier's NPI number?

The NPI number for Jimmy Frazier is 1518168228. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Jimmy Frazier located?

Jimmy Frazier practices at 3012 Ridgeland Dr, Jackson, MS 39212. The listed phone number is (601) 572-3700.

What is Jimmy Frazier's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jimmy Frazier enrolled in Medicare?

Yes. Jimmy Frazier 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 Jimmy Frazier was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.