Mississippi Comprehensive Treatment Centers, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

MISSISSIPPI COMPREHENSIVE TREATMENT CENTERS, LLC

Doing business as

Jackson Comprehensive Treatment Center

Practice address

1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028

Phone

(877) 291-7451

NPI assigned

Nov 9, 2016

Last updated

Apr 7, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ACADIA HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Brian Phillip Farley

Title

VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Jackson Comprehensive Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gulf Coast Comprehensive Treatment Center2 organizations share this tax ID, including this one

Part of

Acadia Healthcare

Other organizations with this tax ID 1

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

• Mississippi Comprehensive Treatment Centers, LLC

  dba Gulf Coast Comprehensive Treatment Center

  • Methadone Clinic
  • Gulfport, MS
  • NPI 1467998344
  NPD tax ID

Locations

Practitioners 3

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.

• William Walter Johnson, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Jackson, MS
  • NPI 1053315028
  NPD
• Nakesia Ellis, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1063005874
  NPD (past)
• Jasmine Robb

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, MS
  • NPI 1053091314
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1629510540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682669",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682669",
            "telephone_number": "760-710-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 LAKELAND DR STE 900",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165028",
            "telephone_number": "877-291-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI COMPREHENSIVE TREATMENT CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2016-11-09",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mississippi Children's Home Society - Mypac
• Mississippi Childrens Heart Clinic PLLC (MS Children's Heart)
• Mississippi Commcare Corporation a Non Profit Corporation (Chadwick Community Care Center)
• Mississippi Commcare Corporation a Non Profit Corporation (Lakeland Community Care Center)
• Mississippi Commcare Corporation a Non Profit Corporation (Manhattan Community Care Center)
• Mississippi Counseling Associates
• Mississippi Counseling Center
• Mississippi Counseling Center,Corp
• Mississippi CVS Pharmacy LLC (CVS Pharmacy #16230)
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 05745)

• Methadone Clinic in Jackson, MS
• Providers in Jackson, MS by specialty
• Methadone Clinic in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.