Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ridgewood Clinics PA

Organization Mental Health Counselor · NPI 1023233749

Ridgewood Clinics PA is a Mental Health Counselor in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1059 Ridgewood Clinic
Jackson, MS 39211
Phone: (601) 957-3211
Fax: (601) 957-9753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 12941 (MS)

Record details

NPI number1023233749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krishan Gupta — Physician · (601) 957-3211
NPI enumeratedApril 16, 2007
Last updated in NPPESAugust 27, 2014
Mailing address1059 Ridgewood Clinic, Jackson, MS 39211

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