<unavail> in Vicksburg, MS - Medicare Counselor

is a medicare enrolled mental health clinic (Counselor - Mental Health) in Vicksburg, Mississippi. The current practice location for is 1100 Clay St, Vicksburg, Mississippi. For appointments, you can reach them via phone at (601) 831-7325. The mailing address for is 115 North Dr, Vicksburg, Mississippi and phone number is (601) 831-7325.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386497162. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 831-7325.

Contact Information


	1100 Clay St Vicksburg MS 39183-2912
	(601) 831-7325
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Counselor
Location	1100 Clay St, Vicksburg, Mississippi
Authorized Official Name and Position	Joycelyn Lashae Green (LICENSE CLINICAL SOCIAL WORKER)
Authorized Official Contact	6018317325
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
115 North Dr Vicksburg MS 39180-9304 Ph: (601) 831-7325	1100 Clay St Vicksburg MS 39183-2912 Ph: (601) 831-7325

NPI Details:

NPI Number	1386497162
Provider Enumeration Date	04/10/2024
Last Update Date	06/24/2024
Certification Date	06/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5698211167
Medicare Enrollment ID	O20240719002414

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386497162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Joycelyn L Green
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1649879461 PECOS PAC ID: 7517355530 Enrollment ID: I20211025002250

Reviews and Comments

Counselor in Vicksburg, MS

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- Medicare Mental Health Clinic in Vicksburg, MS