Mary Bell, LMFT

Individual provider Active NPI Marriage & Family Therapist · Choctaw, MS

NPI 1063271963 · NPPES record last updated Mar 14, 2024

Key facts

NPI
1063271963
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
T10696 (MS)
Practice address
114 Sunset RDG
Choctaw, MS 39350-4567
Phone
(601) 780-0409
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250709000731 TX Practitioner - Marriage and Family Therapist 8921512278 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
T10696MSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Mississippi Band of Choctaw Indians Current
since Apr 10, 2025
Accepting new patients
Mississippi Band of Choctaw Indians Current
since Apr 10, 2025
Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients

Locations

1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500

124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T10696 MS Yes

Addresses

Primary practice location

114 Sunset RDG
Choctaw, MS 39350-4567

Mailing address

210 Hospital Cir
Choctaw, MS 39350-6781
Phone (601) 389-4150

Other providers in Choctaw, MS

All providers in Choctaw, MS · Marriage & Family Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.