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Active NPI 1578803763 Individual Practitioner Female Practitioner

Dr. Kerry Cammilla Johnson , PsyD, LPC, NCC

Counselor - Professional • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Kerry Johnson, PsyD, LPC, NCC is a registered healthcare professional specializing in Counselor - Professional in Jackson, MS. Practice services are available at 500 E WOODROW WILSON AVE STE M under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 E Woodrow Wilson Ave Ste M

Jackson, MS 392164538

Telephone 4178498479
Associated Practice Facility / Clinic
🏢 Kerry Johnson Behavioral Health Services Inc. Facility NPI 1295284123

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
150 Specialists

Practicing in Jackson, MS (1096 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MS 1389

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2015

Registered at 500 E WOODROW WILSON AVE STE M, JACKSON, MS 392164538 (Tel: 4178498479)

📍
Updated Business Mailing Address February 23, 2015

Registered at 500 E WOODROW WILSON AVE STE M, JACKSON, MS 392164538 (Tel: 4178498479)

👤
Provider Name / Credentials Updated February 23, 2015

Recorded as KERRY JOHNSON, PSY.D., LPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2015

Counselor (License #1389 in MS)

🟢
Initial NPI Registration & Enumeration February 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578803763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2013
Last Update: February 23, 2015
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

500 E Woodrow Wilson Ave Ste M

Jackson, MS 392164538

Phone: 4178498479

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.