Organization Active NPI

Insight Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1295553204
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INSIGHT BEHAVIORAL HEALTH
Practice address
4906 Old Highway 11 Ste 3
Hattiesburg, MS 39402-8860
Phone
(601) 325-5254
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Stacy Williams, PMHNPNPI 1477188332
Title
Owner/Provider
Phone
(601) 596-7804

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4906 Old Highway 11 Ste 3
Hattiesburg, MS 39402-8860

Mailing address

18 Nicolaus Dr
Hattiesburg, MS 39402-8112
Phone (601) 325-5254

Other names 1

  • Stacy Williams Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250626002619 MS Part B Supplier - Clinic/Group Practice 0143732800 Receives reassigned benefits from 1 practitioner
Practice locations: Hattiesburg, MS

National Provider Directory

National Provider Directory

Locations

5249 Old Highway 11
Ste E4
Hattiesburg, MS 39402

4906 Old Highway 11
Ste 3
Hattiesburg, MS 39402
Phone (601) 325-5254

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1295553204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NICOLAUS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028112",
            "telephone_number": "601-325-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 OLD HIGHWAY 11 STE 3",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028860",
            "telephone_number": "601-325-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "601-596-7804",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacy Williams",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stacy Williams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.