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KENNETH VANCE PCAT
NPI 1871072405
Counselor - Addiction (Substance Use Disorder) in Jackson, MS

Active since August 14, 2018
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2400(601) 985-5174 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Vance Pcat NPPES

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

KENNETH VANCE PCAT (NPI 1871072405) is an individual addiction (substance use disorder) provider in Jackson, Mississippi and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1871072405
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKENNETH VANCECredential: PCAT
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 14, 2018
✔ NPI 1871072405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3450 HIGHWAY 80 W, Jackson, MS 39209
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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 Kenneth Vance's NPI number?

The NPI number for Kenneth Vance is 1871072405. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Kenneth Vance located?

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

What is Kenneth Vance's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Vance was last updated on August 14, 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.