Individual provider Active NPI

Tatayana Hughes, LMSW, CMHT

  • Clinical Social Worker
  • Grenada, MS
National Provider Identifier
1184411548
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Psychosocial Boutique, PLLC. CurrentSince Apr 27, 2025 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.

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.

Verify at the official NPI Registry.