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

Sherry Bouldin, LPC

Individual provider Mental Health Counselor · NPI 1053784918

Sherry Bouldin, LPC is a Mental Health Counselor in Jackson, Mississippi. Qualified in 1992, 34 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
34
Licensed in
MS
In the registry since
2015
Specialties on file
5
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4500 I 55 N Ste 220
Jackson, MS 39211-5930
Phone: (601) 927-8729
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1995 (MS)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1995 (MS)
Counselor Taxonomy 101Y00000X · Licence 1995 (MS)
Behavior Analyst Taxonomy 103K00000X · Licence 1995 (MS)
Psychoanalyst Taxonomy 102L00000X · Licence 1995 (MS)

Record details

NPI number1053784918
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedNovember 1, 2015
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing addressPo Box 12195, Jackson, MS 39236-2195

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jackson