Active NPI
Tatayana Hughes, LMSW, CMHT
- Clinical Social Worker
- Grenada, MS
National Provider Identifier
1184411548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1330 Sunset Dr
Grenada, MS 38901-4000 - Phone
- (662) 892-2660
- Fax
- (662) 892-2660
- NPI assigned
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1330 Sunset Dr
Grenada, MS 38901-4000
Mailing address
1032 County Road 118
Houston, MS 38851-2010
Other practice location 1
802 Central St Ste 1
Water Valley, MS 38965-2100
Phone (662) 892-2660
Other practice location 2
7289 Goodman Rd
Olive Branch, MS 38654-1906
Phone (662) 892-2660
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychosocial Boutique, PLLC. | Current | Accepting new patients |
Locations
1330 Sunset Dr
Grenada, MS 38901
Phone (662) 892-2660
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Horn Lake, MS
- NPI 1841846904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1184411548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 COUNTY ROAD 118",
"city": "HOUSTON",
"state": "MS",
"postal_code": "388512010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SUNSET DR",
"city": "GRENADA",
"state": "MS",
"postal_code": "389014000",
"telephone_number": "662-892-2660",
"fax_number": "662-892-2660"
}
],
"practiceLocations": [
{
"address_1": "802 Central St Ste 1",
"address_purpose": "LOCATION",
"city": "Water Valley",
"state": "MS",
"postal_code": "389652100",
"country_code": "US",
"telephone_number": "662-892-2660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7289 Goodman Rd",
"address_purpose": "LOCATION",
"city": "Olive Branch",
"state": "MS",
"postal_code": "386541906",
"country_code": "US",
"telephone_number": "662-892-2660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUGHES",
"first_name": "TATAYANA",
"credential": "LMSW, CMHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grenada, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.