SHERRY BOULDIN LPC NPI 1053784918

NPI Information

  • NPI: 1053784918
  • Provider Name: SHERRY BOULDIN, LPC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 I 55 N
    SUITE 220
    JACKSON, MS
    ZIP 39211
  • Phone: (601) 927-8729

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NPI Details

Sherry Bouldin, LPC is a counselor in Jackson, MS with 33 years of experience. The provider is 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. Sherry Bouldin, LPC NPI is 1053784918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 I 55 N
SUITE 220
JACKSON, MS
ZIP 39211-930
Phone: (601) 927-8729

The NPI 1053784918 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/1/2015 and was last updated on 7/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health1995MISSISSIPPINo
2102L00000XPsychoanalyst1995MISSISSIPPINo
3103K00000XBehavior Analyst1995MISSISSIPPINo
4101Y00000XCounselor1995MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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