Individual provider

Jeremy Erickson, MAMFTC

Professional Counselor Medicare enrolled

Jeremy Erickson, MAMFTC is a Professional Counselor in Southaven, MS, registered under NPI 1396225504. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 232 GOODMAN RD W STE 305, Southaven, MS 38671. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

232 GOODMAN RD W STE 305, Southaven, MS 38671 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2608 MS Professional Counselor primary
A1708258 AR Professional Counselor

Licences are recorded in 2 states: MS, AR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
9537691357
Enrollment ID
I20241018000299

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Arkansas and Mississippi. The practice address on file is in Southaven, MS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AR Arkansas
Licence
A1708258
Specialty
Professional Counselor
Verify with the AR board →
MS Mississippi practice address
Licence
2608
Specialty
Professional Counselor
Verify with the MS board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 2608 MS primary
101YP2500X Professional Counselor Professional A1708258 AR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396225504 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 16, 2018
Last updatedApr 3, 2024
StatusActive
Sole proprietorYes
CredentialMAMFTC
Practice address 232 GOODMAN RD W STE 305
Southaven, MS 38671
(662) 856-9563
This record was updated on Apr 3, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1396225504 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 2 2 5 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 4 2 1 5 0

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396225504?
NPI 1396225504 is the National Provider Identifier assigned to Jeremy Erickson, MAMFTC in Southaven, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Jeremy Erickson, MAMFTC?
The phone number on file with NPPES is (662) 856-9563, last updated Apr 3, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jeremy Erickson, MAMFTC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396225504 a valid number?
Yes. 1396225504 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.