Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deidere Hollins, LPC-S

Individual provider Professional Counselor · NPI 1336521970

Deidere Hollins, LPC-S is a Mental Health Counselor in Jackson, Mississippi. Qualified in 2005, 21 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
In the registry since
2015
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Practice location Address checks out

3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2400
Fax: (601) 985-5174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 Magnolia Way, Pearl, MS 39208-3366 — (601) 573-9849

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1628 (MS)

Record details

NPI number1336521970
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-S
Sole proprietorYes
NPI enumeratedJune 19, 2015
Last updated in NPPESJuly 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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