Organization Active NPI

Mend LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxford, MS
National Provider Identifier
1427543776
Registry record updated Jul 27, 2018
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
MEND LLC
Practice address
2692 W Oxford Loop
Oxford, MS 38655
Phone
(662) 822-4657
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Jondelyn Catlette, LPC
Title
Owner
Phone
(662) 333-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2692 W Oxford Loop
Oxford, MS 38655

Mailing address

2692 W Oxford Loop
Oxford, MS 38655-5498
Phone (662) 333-5123

Other identifiers 1

IdentifierTypeStateIssuer
1457896979MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1427543776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 W OXFORD LOOP",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555498",
            "telephone_number": "662-333-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 W OXFORD LOOP",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-822-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "CATLETTE",
        "authorized_official_first_name": "JONDELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-333-5123",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457896979",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.