NPIMap

Organization Active NPI

Mississippi State University

Doing business as MSU Behavioral Health

  • Mental Health Counselor
  • Mississippi State, MS
National Provider Identifier
1518747567
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MISSISSIPPI STATE UNIVERSITY
Doing business as
MSU Behavioral Health
Practice address
223 Famous Maroon Band Street
Mississippi State, MS 39762
Phone
(662) 325-0621
Fax
(662) 325-0895
NPI assigned
Oct 5, 2023
Organization subpart
Yes
Parent organization
MISSISSIPPI STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Daniel Todd Hale
Title
Director, Fiscal Operations, Studen
Phone
(662) 325-5895

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

223 Famous Maroon Band Street
Mississippi State, MS 39762

Mailing address

PO Box 6124
Mississippi State, MS 39762-6124
Phone (662) 325-0621

Other names 1

  • MSU Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mississippi State University10 organizations share this tax ID, including this one
Part of
Mississippi State University

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1518747567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6124",
            "city": "MISSISSIPPI STATE",
            "state": "MS",
            "postal_code": "397626124",
            "telephone_number": "662-325-0621",
            "fax_number": "662-325-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 FAMOUS MAROON BAND STREET",
            "city": "MISSISSIPPI STATE",
            "state": "MS",
            "postal_code": "39762",
            "telephone_number": "662-325-0621",
            "fax_number": "662-325-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSISSIPPI STATE UNIVERSITY",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR, FISCAL OPERATIONS, STUDEN",
        "authorized_official_telephone_number": "662-325-5895"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSU Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mississippi State, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.