Mason Hester

Individual provider Active NPI Mental Health Counselor · Pontotoc, MS

NPI 1326770355 · NPPES record last updated Jun 28, 2022

Key facts

NPI
1326770355
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2535 Palestine Rd
Pontotoc, MS 38863-7242
Phone
(662) 640-4595
NPI assigned
Jun 28, 2022
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Chase House of Youth Restoration Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2535 Palestine Rd
Pontotoc, MS 38863-7242

Mailing address

2535 Palestine Rd
Pontotoc, MS 38863-7242
Phone (662) 640-4595

Other providers in Pontotoc, MS

All providers in Pontotoc, MS · Mental Health Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.