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KATHY CROCKETT LPC
NPI 1528547239
Counselor - Professional in Jackson, MS

Active since August 13, 2018
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2400(601) 985-5174 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kathy Crockett Lpc NPPES

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

KATHY CROCKETT LPC (NPI 1528547239) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (0287) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1528547239
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHY CROCKETTCredential: LPC
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address3450 Highway 80 WJackson, MS 39209-7201 · (601) 321-2400 · Fax (601) 985-5174
Phone(601) 321-2400
Fax(601) 985-5174
Sole ProprietorNo
Enumeration DateAugust 13, 2018
✔ NPI 1528547239 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 · 0287
3450 HIGHWAY 80 W, Jackson, MS 39209
Open in Google Maps ↗

Other Identifiers 1

Medicaid00018209MS

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.

ELLEEANNA LAWSON CAT,LMSW
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
MEGAN M MCCARTY LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANGELA NICOLE CHILDRESS LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MRS. EBONY HUMPHERY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANDRIA WILLIS BSW
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (769) 257-4562
BRENDA WALKER
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
EVE WILLIAMS
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MS. ANGELICA GOWDY PCMHT
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400

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 Kathy Crockett's NPI number?

The NPI number for Kathy Crockett is 1528547239. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Kathy Crockett located?

Kathy Crockett practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2400.

What is Kathy Crockett's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathy Crockett was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.