Active NPI
Crowned With Purpose Mental Health Wellness Solutions
- Psychiatric/Mental Health Nurse Practitioner
- McComb, MS
National Provider Identifier
1003710971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CROWNED WITH PURPOSE MENTAL HEALTH WELLNESS SOLUTIONS
- Practice address
- 612 Deleware Ave
Suite 18
McComb, MS 39648 - Phone
- (601) 803-1147
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kanisha M McKnight, PMHNP
- Title
- Nurse Practitioner
- Phone
- (601) 814-0757
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
612 Deleware Ave
Suite 18
McComb, MS 39648
Mailing address
612 Deleware Ave
Suite 18
McComb, MS 39648
Phone (601) 803-1147
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tylertown, MS
- NPI 1922949429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1003710971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 DELEWARE AVE",
"address_2": "SUITE 18",
"city": "MCCOMB",
"state": "MS",
"postal_code": "39648",
"telephone_number": "601-803-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 DELEWARE AVE",
"address_2": "SUITE 18",
"city": "MCCOMB",
"state": "MS",
"postal_code": "39648",
"telephone_number": "601-803-1147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWNED WITH PURPOSE MENTAL HEALTH WELLNESS SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "KANISHA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "601-814-0757",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.