Primary and Behavioral Healthcare Services, PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES, PA

Practice address

717 E Fortification St
Jackson, MS 39202-2402

Phone

(769) 572-4009

Fax

(769) 572-4021

NPI assigned

Jul 8, 2019

Last updated

Oct 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shameca Leonora Hudson, FNP, DNP-BC, PMHNP-BNPI 1619362977

Title

Ceo

Phone

(769) 572-4009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Primary and Behavioral Healthcare Services, PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1710545488

  O20191001000120

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Primary and Behavioral Healthcare Services, PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1710545488

  Member Of

  NPD member

Practitioners 1

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.

• Shameca Hudson, DNP, FNP-BC,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1619362977
  NPD Authorized official

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1679135982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022402",
            "telephone_number": "769-572-4009",
            "fax_number": "769-572-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022402",
            "telephone_number": "769-572-4009",
            "fax_number": "769-572-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SHAMECA",
        "authorized_official_middle_name": "LEONORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "769-572-4009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP, DNP-BC, PMHNP-B"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Price
• Kwanza Ayanna Price, MSN, RN, PMHNP-BC
• Lauren Price, DO
• Wanya Pridgen
• Da'Sha S Priest, CMHT
• Primary and Behavioral Healthcare Services, PA
• Linda Dillon Primous, LMSW
• Allison Leigh Princiotta, CPNP-PC
• Jonathan Princiotta
• Isabelle Ann Prine

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, 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 Oct 28, 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.