John Southern, EDD
NPI 1396084786 · Professional Counselor · Jackson, MS
John Southern, EDD is a Professional Counselor provider in Jackson, MS (NPI 1396084786).
Provider details
- NPI number
- 1396084786
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- EDD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071009636 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 815b Ocean View BlvdPacific Grove, CA 93950-2229Phone: (361) 876-2030
- 2906 N State StSuite 204Jackson, MS 39216-4233Phone: (769) 524-4154Fax: (601) 925-3951
Registry dates
- Enumerated
- 2013-02-06
- Last updated
- 2019-04-11
Frequently asked questions
- What is John Southern's NPI number?
- John Southern's National Provider Identifier (NPI) is 1396084786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Southern's specialty?
- John Southern is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is John Southern located?
- John Southern's practice location on file with NPPES is 106 Sugaloch Cv, Jackson, MS 39211-3435.
- What is John Southern's phone number?
- The practice phone number listed in the NPPES registry for John Southern is (618) 762-0303.
- Is John Southern's NPI active?
- Yes — John Southern's NPI (1396084786) is active in the NPPES registry as of the last update on 2019-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.