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DONNELL NICHOLES JR
NPI 1881425890
Counselor - Mental Health in Jackson, MS

Active since August 12, 2024
4735 OLD CANTON RD STE 111, JACKSON, MS 39211(228) 896-1128 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2024, Aug 12, 2024 (2 updates tracked since 2024).

About Donnell Nicholes Jr NPPES

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

DONNELL NICHOLES JR (NPI 1881425890) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1881425890
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDONNELL NICHOLES JR
Location Address4735 OLD CANTON RD STE 111Jackson, MS 39211-5500
Mailing Address126 Thornwood DrClinton, MS 39056-6227
Phone(228) 896-1128
Sole ProprietorYes
Enumeration DateAugust 12, 2024
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1881425890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4735 OLD CANTON RD STE 111, Jackson, MS 39211
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARISSA ETHRIDGE FARQUHAR LMSW
Social Worker (Clinical)
4735 OLD CANTON RD STE 111
JACKSON, MS 39211
Hinds County (601) 479-3397
MARY ELIZABETH WROTEN
Social Worker (Clinical)
4735 OLD CANTON RD STE 111
JACKSON, MS 39211
Hinds County (601) 218-1108

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 Donnell Nicholes Jr's NPI number?

The NPI number for Donnell Nicholes Jr is 1881425890. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Donnell Nicholes Jr located?

Donnell Nicholes Jr practices at 4735 Old Canton Rd Ste 111, Jackson, MS 39211. The listed phone number is (228) 896-1128.

What is Donnell Nicholes Jr'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 Donnell Nicholes Jr was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.