Mary Elizabeth Prestage, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

942 Issued in MS

Practice address

113A S Davis Ave
Cleveland, MS 38732-3447

Phone

(662) 843-9445

Fax

(662) 843-9447

NPI assigned

Dec 31, 2007

Last updated

Jan 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Right Track Medical Group, IncGroup PAC ID 8729403415, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Right Track Medical Group, Inc

  • Psychiatry Physician
  • Olive Branch, MS
  • NPI 1972080257
  Medicare reassignment Care Compare group NPD
• Delta Community Mental Health Services

  • Community/Behavioral Health Agency
  • Cleveland, MS
  • NPI 1184741100
  NPD (past)
• Precise Clinical Neuroscience Specialists

  dba Right Track Medical Group

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1770717449
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1548445299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113A S DAVIS AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323447",
            "telephone_number": "662-843-9445",
            "fax_number": "662-843-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113A S DAVIS AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323447",
            "telephone_number": "662-843-9445",
            "fax_number": "662-843-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTAGE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018205",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PHC-Cleveland, Inc. (Bolivar Medical Center Skilled Nursing Unit)
• Roenikya L. Phillips, DMD, MPH
• Michael E Portner, MD
• Susan Prather, CFNP
• Stevenson Prescott
• Julie Manning Price, OT
• Prime Care Hospice, Inc. (Community Hospice Care)
• Dewayne Troy Proctor
• Raanne Ray Tindle D.M.D., P.a.
• Wesley W Radicioni

• Mental Health Counselor in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.