PREMIER PROFESSIONAL COUNSELING SERVICES, LLC
NPI 1750878781
Social Worker - Clinical in Gulfport, MS
About Premier Professional Counseling Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER PROFESSIONAL COUNSELING SERVICES, LLC (NPI 1750878781) is a healthcare organization registered as a clinical in Gulfport, Mississippi and active in the NPI registry since April 2018. The organization lists Jocelyn Gavin-lane, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Professional Counseling Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Premier Professional Counseling Services, LLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Premier Professional Counseling Services, LLC's NPI number?
The NPI number for Premier Professional Counseling Services, LLC is 1750878781. It was assigned to this organization in the NPPES registry on April 16, 2018.
Where is Premier Professional Counseling Services, LLC located?
Premier Professional Counseling Services, LLC is located at 1390 29th Ave Ste B, Gulfport, MS 39501. The listed phone number is (228) 220-4226.
What is Premier Professional Counseling Services, LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Premier Professional Counseling Services, LLC enrolled in Medicare?
Yes. Premier Professional Counseling Services, LLC is registered in the Medicare PECOS enrollment system.
When is Premier Professional Counseling Services, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Premier Professional Counseling Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Premier Professional Counseling Services, LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (7), Mental Health Counselor (3) and Nurse Practitioner (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Premier Professional Counseling Services, LLC 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 Premier Professional Counseling Services, LLC 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 Premier Professional Counseling Services, LLC was last updated on April 16, 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.
# Premier Professional Counseling Services, Llc · NPI 1750878781
Clinical organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since April 16, 2018.
## Identity
- **NPI:** 1750878781 (Entity type: Organization)
- **Enumerated:** April 16, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Jocelyn Gavin-Lane, OWNER
## Practice location
- **Address:** 1390 29TH AVE STE B, Gulfport, MS 39501-1945
- **Phone:** (228) 220-4226 · **Fax:** (228) 220-4303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (7), Mental Health Counselor (3), Nurse Practitioner (1); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2018
- **Other identifiers:** Medicaid 05525369 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1750878781) · Data from the CMS NPPES public registry.