Kelly Buckholdt is a Jackson, Mississippi based counselor who is specialized as Counselor. Active license number of Kelly Buckholdt is 54955 for Counselor in Mississippi. Her current practice location is 1500 E Woodrow Wilson Ave, Jackson. Patients can book an appointment with her at 601-364-7903.
Kelly Buckholdt is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Kelly Buckholdt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kelly Buckholdt |
| Specialization: | Counselor |
| Gender: | Female |
| Credentials: | PH.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1500 E Woodrow Wilson Ave, Jackson,
Mississippi, 39216-5116 |
| Phone: | 601-364-7903 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1083024079 |
| NPI Enumeration Date: | 30 Apr, 2014 |
| NPI Last Update On: | 26 Apr, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Buckholdt are as mentioned below.
| License Number | Specialization | State | Status | |
| 54955 | Counselor | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Buckholdt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 07971063 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1500 E Woodrow Wilson Ave,
Jackson, Mississippi |
| Zip: | 39216-5116 |
| Phone Number: | 601-364-7903 |
Patients can reach Kelly Buckholdt at
1500 E Woodrow Wilson Ave, Jackson, Mississippi or can
call to book an appointment on 601-364-7903.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.