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

Jeremy Beavers

Individual provider Mental Health Counselor · NPI 1558593905

Jeremy Beavers is a Mental Health Counselor in Vicksburg, Mississippi. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone: (601) 638-0031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558593905
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2009
Last updated in NPPESAugust 19, 2009
Mailing address3444 Wisconsin Ave, Vicksburg, MS 39180-5331

Other providers in Vicksburg