Individual provider Active NPI

Renita Ann Kyles, PCMHT

  • Mental Health Counselor
  • Greenwood, MS
National Provider Identifier
1053114371
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6795 Issued in MS
Practice address
2504 Browning Road Ext # 520
Greenwood, MS 38930-9417
Phone
(662) 453-6211
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6795 MS Primary

Addresses

Primary practice location

2504 Browning Road Ext # 520
Greenwood, MS 38930-9417

Mailing address

2504 Browning Road Ext # 520
Greenwood, MS 38930-9417
Phone (662) 453-6211

Other names 1

  • Mrs. Renita Kyles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6795MSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1053114371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD EXT # 520",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389309417",
            "telephone_number": "662-453-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD EXT # 520",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389309417",
            "telephone_number": "662-453-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLES",
        "first_name": "RENITA",
        "middle_name": "ANN",
        "credential": "PCMHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "6795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENITA",
            "last_name": "KYLES",
            "prefix": "MRS.",
            "credential": "PCMHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.