What is Jason Kellum's NPI number?

Jason Kellum's National Provider Identifier (NPI) is 1083564611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jason Kellum's specialty?

Jason Kellum is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Jason Kellum located?

Jason Kellum's practice location on file with NPPES is 2434 S Eason Blvd, Tupelo, MS 38804-6942.

What is Jason Kellum's phone number?

The practice phone number listed in the NPPES registry for Jason Kellum is (662) 640-4595.

Is Jason Kellum's NPI active?

Yes — Jason Kellum's NPI (1083564611) is active in the NPPES registry as of the last update on 2026-02-02.

IndividualActive

Jason Kellum

NPI 1083564611 · Counselor · Tupelo, MS

Jason Kellum is a Counselor provider in Tupelo, MS (NPI 1083564611).

Provider details

NPI number: 1083564611
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2434 S Eason Blvd

Tupelo, MS 38804-6942

Phone: (662) 640-4595

Street-level locationGet directions

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Mailing address