1. Home
  2. Directory
  3. Mississippi
  4. Tupelo
  5. Counselor
  6. NPI Profile

JUSTIN WASHINGTON
NPI 1740800432
Counselor - Professional in Tupelo, MS

Active since April 22, 2020PECOS Enrolled
2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595(662) 680-6416 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justin Washington NPPES

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

JUSTIN WASHINGTON (NPI 1740800432) is an individual professional provider in Tupelo, Mississippi, licensed in Mississippi (2939) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740800432
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTIN WASHINGTON
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595 · Fax (662) 680-6416
Phone(662) 640-4595
Fax(662) 680-6416
Sole ProprietorNo
Enumeration DateApril 22, 2020
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1740800432 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 · 2939
2434 S EASON BLVD, Tupelo, MS 38804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Washington 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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Washington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chase Clinic
20 mi
Clinic/Center
334-A MS 15 S
Pontotoc, MS 38863
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1295628105 (662) 297-6949

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TIFFANY BROWN
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
ALYSSA BRIDGES
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
CENTRELL GARDNER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
KAYLA HARRIS
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 810-4125
KEYAIRA STANDIFER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
KATELYN SEILER
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
MS. CAROLEE ELIZABETH SMITH MSSW
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 844-1717
JAN HARRIS
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595

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 Justin Washington's NPI number?

The NPI number for Justin Washington is 1740800432. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Justin Washington located?

Justin Washington practices at 2434 S Eason Blvd, Tupelo, MS 38804. The listed phone number is (662) 640-4595.

What is Justin Washington's specialty?

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

Is Justin Washington enrolled in Medicare?

Yes. Justin Washington is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Washington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Washington reassigns Medicare benefits to Chase Clinic (Pontotoc, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Washington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Washington accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Justin Washington 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 Justin Washington was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.