NPIMap

Organization Active NPI

Region Seven Mental Health Intellectual Disabilities Comm

Doing business as Community Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Point, MS
National Provider Identifier
1700894730
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
R07BR Issued in MS
Legal business name
REGION SEVEN MENTAL HEALTH INTELLECTUAL DISABILITIES COMM
Doing business as
Community Counseling Services
Practice address
222 Mary Holmes Dr
West Point, MS 39773-4400
Phone
(662) 295-6433
Fax
(662) 323-5553
NPI assigned
Aug 4, 2006
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mrs. Kathy A Doss
Title
Accts Rec/Billing Supervisor
Phone
(662) 285-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X R07BR MS Primary

Addresses

Primary practice location

222 Mary Holmes Dr
West Point, MS 39773-4400

Mailing address

1032 State Hwy 50 W
West Point, MS 39773
Phone (662) 524-4347

Other identifiers 1

IdentifierTypeStateIssuer
000018207MedicaidMS

Other names 1

  • Community Counseling Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000565 MS Part B Supplier - Clinic/Group Practice 3072531953 Receives reassigned benefits from 19 practitioners
Practice locations: Starkville, MS

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1700894730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 STATE HWY 50 W",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "39773",
            "telephone_number": "662-524-4347",
            "fax_number": "662-524-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MARY HOLMES DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397734400",
            "telephone_number": "662-295-6433",
            "fax_number": "662-323-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION SEVEN MENTAL HEALTH INTELLECTUAL DISABILITIES COMM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCTS REC/BILLING SUPERVISOR",
        "authorized_official_telephone_number": "662-285-6433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": "R07BR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018207",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.