Home of Grace Counseling Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HOME OF GRACE COUNSELING SERVICES, LLC

Practice address

14200 Jericho Rd
Vancleave, MS 39565-9771

Phone

(228) 826-5283

Fax

(228) 826-1663

NPI assigned

Jun 5, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Barton

Title

Executive Director

Phone

(228) 826-6522

Specialties & licenses 4

Addresses

Locations

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.

• Delissa L Castleberry, LPC, CADCII

  • Professional Counselor
  • Gautier, MS
  • NPI 1437773546
  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1053935940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5009",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395655009",
            "telephone_number": "228-826-5283",
            "fax_number": "228-826-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 JERICHO RD",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395659771",
            "telephone_number": "228-826-5283",
            "fax_number": "228-826-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7112 Home Of Grace Dr",
            "address_purpose": "LOCATION",
            "city": "Gautier",
            "state": "MS",
            "postal_code": "395532728",
            "country_code": "US",
            "telephone_number": "228-497-1312",
            "fax_number": "228-826-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOME OF GRACE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "228-826-6522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Nolan Hartsfield
• Brittney Hester, CST
• Julia G. Hines, O.T.
• Jacqueline C Hode, CFNP
• Hannah Rutledge Holifield
• Timothy R Ivey, M.D.
• J Fails, LLC
• Jackson County School District
• Karoline G Johnson, OT
• Scott Allen Johnson, D.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vancleave, MS
• Providers in Vancleave, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.