JACKIE BODDY
NPI 1891240818
Counselor - Mental Health in Jackson, MS

The NPI number for Jackie Boddy is 1891240818. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Jackie Boddy was last updated on August 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2016

460 BRIARWOOD DR, SUITE 510, JACKSON, MS 39206(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jackie Boddy NPPES

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

JACKIE BODDY (NPI 1891240818) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since August 2016.

NPI1891240818

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACKIE BODDY

Location Address460 BRIARWOOD DR, SUITE 510Jackson, MS 39206-3051

Mailing AddressPo Box 13509Jackson, MS 39236-3509 · (601) 956-4816 · Fax (601) 956-4817

Fax(601) 956-4817

Sole ProprietorNo

Enumeration DateAugust 19, 2016

✔ NPI 1891240818 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

460 BRIARWOOD DR, Jackson, MS 39206

Medicaid01670076MS

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

Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)

460 BRIARWOOD DR, SUITE 410
JACKSON, MS 39206

Hinds County (601) 956-1576

Counselor (Mental Health)