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JEANIE WOOLLEDGE PHD
NPI 1922404912
Counselor in Picayune, MS

Active since November 18, 2014PECOS Enrolled
116 E CANAL ST, PICAYUNE, MS 39466(504) 628-4882 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, Dec 9, 2022 (2 updates tracked since 2022).

About Jeanie Woolledge Phd NPPES

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

JEANIE WOOLLEDGE PHD (NPI 1922404912) is an individual counselor in Picayune, Mississippi, licensed in Mississippi (3235) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922404912
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJEANIE WOOLLEDGECredential: PHD
Location Address116 E CANAL STPicayune, MS 39466-4500
Mailing Address32 Patrice RdPicayune, MS 39466-8159 · (504) 628-4882
Phone(504) 628-4882
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 18, 2014
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1922404912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MS · 3235
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
116 E CANAL ST, Picayune, MS 39466
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanie Woolledge Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214389717
PECOS Enrollment IDI20260501001588
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
25 services25 patients

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.

KAMRYN ORLIVIYAH RHUBI NELSON
Social Worker
116 E CANAL ST
PICAYUNE, MS 39466
Pearl River County (769) 926-1137
EMILY SEAL LMSW
Social Worker
116 E CANAL ST
PICAYUNE, MS 39466
Pearl River County (769) 926-1137

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 Jeanie Woolledge's NPI number?

The NPI number for Jeanie Woolledge is 1922404912. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Jeanie Woolledge located?

Jeanie Woolledge practices at 116 E Canal St, Picayune, MS 39466. The listed phone number is (504) 628-4882.

What is Jeanie Woolledge's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jeanie Woolledge enrolled in Medicare?

Yes. Jeanie Woolledge is registered in the Medicare PECOS enrollment system.

What insurance does Jeanie Woolledge accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Molina Healthcare and UnitedHealthcare list Jeanie Woolledge 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 Jeanie Woolledge was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.