Organization Active NPI

South Mississippi Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pascagoula, MS
National Provider Identifier
1699564419
Registry record updated Oct 15, 2025
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
SOUTH MISSISSIPPI MENTAL HEALTH CENTER
Practice address
4211 Hospital St
Pascagoula, MS 39581-5320
Phone
(228) 497-0690
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Joseph Manuel
Title
Mental Health Director
Phone
(228) 769-3154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4211 Hospital St
Pascagoula, MS 39581-5320

Mailing address

PO Box 1307
Pascagoula, MS 39568-1307
Phone (228) 283-4140

Other practice location 1

4600 Lt Eugene J Majure Dr
Pascagoula, MS 39581-5303
Phone (228) 283-4140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251103002218 MS Part B Supplier - Clinic/Group Practice 6204326895 Receives reassigned benefits from 2 practitioners
Practice locations: Pascagoula, MS

National Provider Directory

National Provider Directory
Tax ID family
South Mississippi Mental Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4600 Lt Eugene J Majure Dr
Pascagoula, MS 39581
Phone (228) 283-4140

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1699564419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1307",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395681307",
            "telephone_number": "228-283-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815320",
            "telephone_number": "228-497-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Lt Eugene J Majure Dr",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395815303",
            "country_code": "US",
            "telephone_number": "228-283-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MENTAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "228-769-3154"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.