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LAZERRICK JONMONTA TRAVIS
NPI 1518749241
Counselor - Mental Health in Jackson, MS

Active since October 17, 2023
341 EDGEWOOD TERRACE DR, JACKSON, MS 39206(601) 487-6344(601) 398-0289 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lazerrick Jonmonta Travis NPPES

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

LAZERRICK JONMONTA TRAVIS (NPI 1518749241) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1518749241
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLAZERRICK JONMONTA TRAVIS
Location Address341 EDGEWOOD TERRACE DRJackson, MS 39206-6217
Mailing Address341 Edgewood Terrace DrJackson, MS 39206-6217 · (601) 487-6344 · Fax (601) 398-0289
Phone(601) 487-6344
Fax(601) 398-0289
Sole ProprietorNo
Enumeration DateOctober 17, 2023
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1518749241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
341 EDGEWOOD TERRACE DR, Jackson, MS 39206
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Other Providers at the Same Location NPPES 20

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

CHERYL MARIE BROWN
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
MICHELLE ELNORA LATRICE KINZEY
Case Manager/Care Coordinator
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
ANDREW HENDON
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
BRAD DAVIS
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 738-5820
MALON MCGEE
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
SHEILA DAWN RUNNELS M.S., LPC, NCC
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
INDIA MARQUITA WHITE MHT
Counselor (Mental Health)
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344
IVORY SIMMONS
Case Manager/Care Coordinator
341 EDGEWOOD TERRACE DR
JACKSON, MS 39206
Hinds County (601) 487-6344

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 Lazerrick Travis's NPI number?

The NPI number for Lazerrick Travis is 1518749241. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Lazerrick Travis located?

Lazerrick Travis practices at 341 Edgewood Terrace Dr, Jackson, MS 39206. The listed phone number is (601) 487-6344.

What is Lazerrick Travis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lazerrick Travis was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.