NPIMap

Organization Active NPI

Catalyst Counseling and Therapy Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gulfport, MS
National Provider Identifier
1477015444
Registry record updated May 14, 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
CATALYST COUNSELING AND THERAPY SERVICES LLC
Practice address
1520 29TH Ave Ste 33
Gulfport, MS 39501-2843
Phone
(858) 926-9366
NPI assigned
Apr 1, 2019
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Ashira Windsor, LCSWNPI 1003154451
Title
Ceo
Phone
(858) 926-9366

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

1520 29TH Ave Ste 33
Gulfport, MS 39501-2843

Mailing address

10423 Chapelwood Dr
Gulfport, MS 39503-8095
Phone (858) 926-9366

Other practice location 1

10423 Chapelwood Dr
Gulfport, MS 39503-8095
Phone (858) 926-9366

Other identifiers 1

IdentifierTypeStateIssuer
02489806MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190702000282 MS Part B Supplier - Clinic/Group Practice 2365776911 Receives reassigned benefits from 11 practitioners
Practice locations: Biloxi, MS; Gulfport, MS

National Provider Directory

National Provider Directory

Locations

1636 Popps Ferry Rd
Ste 203
Biloxi, MS 39532
Phone (228) 215-4343

1520 29th Ave
Ste 33
Gulfport, MS 39501
Phone (228) 591-1442

1520 29th Ave
Ste 36
Gulfport, MS 39501
Phone (228) 284-2644

1601 30th Ave
Gulfport, MS 39501
Phone (228) 284-2644

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1477015444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10423 CHAPELWOOD DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038095",
            "telephone_number": "858-926-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 29TH AVE STE 33",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012843",
            "telephone_number": "858-926-9366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10423 Chapelwood Dr",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395038095",
            "country_code": "US",
            "telephone_number": "858-926-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATALYST COUNSELING AND THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "WINDSOR",
        "authorized_official_first_name": "ASHIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-926-9366",
        "authorized_official_credential": "LCSW"
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02489806",
            "state": "MS"
        }
    ],
    "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 May 14, 2019; 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.