NPIMap

Organization Active NPI

Region VI Community Mental Health Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
National Provider Identifier
1154433233
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REGION VI COMMUNITY MENTAL HEALTH COMMISSION
Practice address
2504 Browning Road
Greenwood, MS 38930
Phone
(662) 453-6211
Fax
(662) 455-8724
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Phaedre Cole
Title
Executive Director
Phone
(662) 453-6211

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 62

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000045 MS Part B Supplier - Clinic/Group Practice 0749183663 Receives reassigned benefits from 11 practitioners
Practice locations: Winona, MS; Tunica, MS; Rolling Fork, MS; Marks, MS; Cleveland, MS; Lexington, MS; Kosciusko, MS; Indianola, MS…

National Provider Directory

National Provider Directory
Tax ID family
Region VI Mental Health (6 organizations share this tax ID)

Locations

119 E Jackson St
Belzoni, MS 39038
Phone (662) 247-3256

135 N Market St
Charleston, MS 38921
Phone (662) 647-3240

113 S Davis Ave
Cleveland, MS 38732
Phone (662) 843-9445

467 Springhill Rd
Grenada, MS 38901
Phone (662) 226-1112

200 E Baker St
Indianola, MS 38751
Phone (662) 887-5441

314 S Huntington St
Kosciusko, MS 39090
Phone (662) 289-4735

328 Depot St
Lexington, MS 39095
Phone (662) 834-1709

232 Carver Ave
Rolling Fork, MS 39159
Phone (662) 873-6228

718 Alberta Dr
Winona, MS 38967
Phone (662) 283-2529

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MS Primary

Addresses

NPPES NPI Registry

Primary practice location

2504 Browning Road
Greenwood, MS 38930

Mailing address

PO Box 1505
Greenwood, MS 38935-1505
Phone (662) 453-6211

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
00770318MedicaidMS
00770409MedicaidMS
09581272MedicaidMS
01253876MedicaidMS
00018206MedicaidMS

Other names 1

NPPES NPI Registry
  • Life Help Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2020.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1154433233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1505",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351505",
            "telephone_number": "662-453-6211",
            "fax_number": "662-455-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-453-6211",
            "fax_number": "662-455-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION VI COMMUNITY MENTAL HEALTH COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "PHAEDRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-453-6211"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770318",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770409",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09581272",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01253876",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018206",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Help",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Help",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.