NPIMap

Organization Active NPI

Mesepp Community, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monticello, GA
National Provider Identifier
1235793241
Registry record updated Apr 24, 2019
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
MESEPP COMMUNITY, INC
Doing business as
MESEPP Community Behavioral Health and Recovery Center
Practice address
825 Eatonton St
Monticello, GA 31064-1029
Phone
(404) 543-4497
NPI assigned
Apr 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Mr. Keith London, MS, LPC, MACNPI 1487177358
Title
Ceo
Phone
(404) 543-4497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

825 Eatonton St
Monticello, GA 31064-1029

Mailing address

825 Eatonton St
Monticello, GA 31064-1029
Phone (404) 543-4497

Other names 1

  • MESEPP Community Behavioral Health and Recovery Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelondon@mesepp.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Mesepp Community Behavioral Health and Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1235793241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 EATONTON ST",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310641029",
            "telephone_number": "404-543-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EATONTON ST",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310641029",
            "telephone_number": "404-543-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESEPP COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-543-4497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC, MAC"
    },
    "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": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelondon@mesepp.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "825 Eatonton St",
            "city": "Monticello",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310641029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MESEPP Community Behavioral Health and Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.