What is Ellis Jackson's NPI number?

Ellis Jackson's National Provider Identifier (NPI) is 1225798143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ellis Jackson's specialty?

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

Where is Ellis Jackson located?

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

What is Ellis Jackson's phone number?

The practice phone number listed in the NPPES registry for Ellis Jackson is (662) 640-6416.

Is Ellis Jackson's NPI active?

Yes — Ellis Jackson's NPI (1225798143) is active in the NPPES registry as of the last update on 2021-12-20.

IndividualActive

Ellis Jackson

NPI 1225798143 · Mental Health Counselor · Tupelo, MS

Ellis Jackson is a Mental Health Counselor provider in Tupelo, MS (NPI 1225798143).

Provider details

NPI number: 1225798143
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 index)

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

Registry tenure38% of score
4 yrs in NPPES 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) 640-6416

Fax: (662) 680-6416

Street-level locationGet directions

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Mailing address