Sbhsn

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SBHSN

Doing business as

Hostpay

Practice address

405 Cumberland CT
Madison, MS 39110-7375

Phone

(601) 316-1986

NPI assigned

Mar 25, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Wingard-Fuller

Title

Transitional Coach

Phone

(601) 316-1986

Specialties & licenses 1

Addresses

Other names 2

• Hostpay Doing business as
• Kim's Opening Ears Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1003618620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 N OLD CANTON RD",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CUMBERLAND CT",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107375",
            "telephone_number": "601-316-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBHSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "WINGARD-FULLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "TRANSITIONAL COACH",
        "authorized_official_telephone_number": "601-316-1986"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hostpay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kim's Opening Ears",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sam'S Club Optical
• Corinne A Sampson, PT
• Sams East Inc
• Emily Sandberg
• Pamela Higgins Saulsberry, PHD, LCSW
• Anna Victoria Scarbrough, AU.D.
• Charna Schlakman
• Gary M Schneider, DO
• Amanda Schurwanz, RN, IBCLC
• Select Medical LLC

• Community/Behavioral Health Agency in Madison, MS
• Providers in Madison, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.