Organization Active NPI

Mental Health Services, LLC

  • Mental Health Counselor
  • Gulfport, MS
National Provider Identifier
1326477001
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1715 Issued in MS
Legal business name
MENTAL HEALTH SERVICES, LLC
Practice address
1455 E Pass Rd
B
Gulfport, MS 39507-3523
Phone
(228) 563-3879
Fax
(228) 864-6979
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Dr. Estelle Lacoste Robinson, PH.D., L.P.C.NPI 1215279047
Title
Sole Proprietor
Phone
(228) 563-3879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1715 MS Primary

Addresses

Primary practice location

1455 E Pass Rd
B
Gulfport, MS 39507-3523

Mailing address

1455 E Pass Rd
B
Gulfport, MS 39507-3523
Phone (228) 563-3879

National Provider Directory

National Provider Directory

Locations

1455 E Pass Rd
#B
Gulfport, MS 39507
Phone (228) 563-3879

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1326477001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E PASS RD",
            "address_2": "B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073523",
            "telephone_number": "228-563-3879",
            "fax_number": "228-864-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E PASS RD",
            "address_2": "B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073523",
            "telephone_number": "228-563-3879",
            "fax_number": "228-864-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "LACOSTE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "228-563-3879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.