Organization Active NPI

Blissful Mind Behavioral Health

  • Adult Mental Health Clinic/Center
  • Huntsville, AL
National Provider Identifier
1730689738
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
2745 Issued in AL
Legal business name
BLISSFUL MIND BEHAVIORAL HEALTH
Practice address
207 Eustis Ave SE Ste D
Huntsville, AL 35801-4234
Phone
(256) 346-5505
NPI assigned
Feb 15, 2018
Last updated
Feb 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
Pamela Tippit, LPCNPI 1871702845
Title
Therapist
Phone
(256) 346-5505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 2745 AL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2745 AL

Addresses

Primary practice location

207 Eustis Ave SE Ste D
Huntsville, AL 35801-4234

Mailing address

112 Pineda Dr
Huntsville, AL 35811-8088
Phone (256) 655-6464

National Provider Directory

National Provider Directory

Locations

207 Eustis Ave SE
Ste D
Huntsville, AL 35801
Phone (256) 346-5505

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1730689738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PINEDA DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358118088",
            "telephone_number": "256-655-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 EUSTIS AVE SE STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014234",
            "telephone_number": "256-346-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL MIND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "TIPPIT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "256-346-5505",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AL",
            "license": "2745",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AL",
            "license": "2745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.