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

MS. Samonia Lynn Etheridge, LPC

Individual provider Professional Counselor · NPI 1619014891

MS. Samonia Lynn Etheridge, LPC is a Mental Health Counselor in Vicksburg, Mississippi. Qualified in 2001, 25 years ago. Practices with Right Track Medical Group, Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
25
Licensed in
MS
In the registry since
2007
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1414 Cherry St
Vicksburg, MS 39180-3218
Phone: (601) 636-5703
Fax: (601) 636-5739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1046 (MS)

Record details

NPI number1619014891
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1414 Cherry St, Vicksburg, MS 39180-3218

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Right Track Medical Group, Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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