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

Otavia Perry, LPC, NCC

Individual provider Mental Health Counselor · NPI 1568114312

Otavia Perry, LPC, NCC is a Mental Health Counselor in Ridgeland, Mississippi. Qualified in 2017, 9 years ago. Practices with Supportive Care I of Rhode Island PC, a 54-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

665 S Pear Orchard Rd Ste 106-1085
Ridgeland, MS 39157-4859
Phone: (601) 554-6989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 398 Bellevue Ave, Newport, RI 02840-6955 — (718) 506-1115
  • 17 Adelphi Ave, Providence, RI 02906-4119 — (718) 506-1115

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2751 (MS)

Record details

NPI number1568114312
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , NCC
Sole proprietorNo
NPI enumeratedJanuary 24, 2022
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address665 S Pear Orchard Rd Ste 106-1085, Ridgeland, MS 39157-4861

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Supportive Care I Of Rhode Island Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ridgeland