SIR JOHNATHAN RUCKER
NPI 1578022281
Counselor - Mental Health in Yazoo City, MS

Active since March 13, 2019
635 W WILLIE MORRIS PKWY, YAZOO CITY, MS 39194(601) 638-0031(601) 638-1778 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sir Johnathan Rucker NPPES

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

SIR JOHNATHAN RUCKER (NPI 1578022281) is an individual mental health provider in Yazoo City, Mississippi and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1578022281
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSIR JOHNATHAN RUCKER
Location Address635 W WILLIE MORRIS PKWYYazoo City, MS 39194-7702
Mailing Address635 W Willie Morris PkwyYazoo City, MS 39194-7702 · (601) 638-0031 · Fax (601) 638-1778
Fax(601) 638-1778
Sole ProprietorNo
Enumeration DateMarch 13, 2019
NPI 1578022281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
635 W WILLIE MORRIS PKWY, Yazoo City, MS 39194

Other Identifiers 1

Medicaid00018215MS

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.

Counselor (Mental Health)
635 W WILLIE MORRIS PKWY
YAZOO CITY, MS 39194
Counselor (Mental Health)
635 W WILLIE MORRIS PKWY
YAZOO CITY, MS 39194
Counselor (Mental Health)
635 W WILLIE MORRIS PKWY
YAZOO CITY, MS 39194
Counselor (Mental Health)
635 W WILLIE MORRIS PKWY
YAZOO CITY, MS 39194
Counselor (Mental Health)
635 W WILLIE MORRIS PKWY
YAZOO CITY, MS 39194
Counselor (Mental Health)
635 W WILLIE MORRIS PKWY
YAZOO CITY, MS 39194
Counselor (Mental Health)
635 W WILLIE MORRIS PKWY
YAZOO CITY, MS 39194
Counselor (Mental Health)
635 W WILLIE MORRIS PKWY
YAZOO CITY, MS 39194

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 Sir Rucker's NPI number?

The NPI number for Sir Rucker is 1578022281. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Sir Rucker located?

Sir Rucker practices at 635 W Willie Morris Pkwy, Yazoo City, MS 39194. The listed phone number is (601) 638-0031.

What is Sir Rucker'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 Sir Rucker was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.