Aretha M. Northington, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

904621 Issued in MS

Practice address

64 Old Airport Rd
Hattiesburg, MS 39401-8382

Phone

(601) 909-9390

NPI assigned

Jun 4, 2020

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aretha Marcella Northington Former name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Mental Health-Mental Retardation CommissionGroup PAC ID 5193611747, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnorthington125637@directpatientrecord.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Mental Health-Mental Retardation Commission

  dba Lifecore Health Group

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1548413628
  Medicare reassignment Care Compare group
• Sumrall Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Sumrall, MS
  • NPI 1184694036
  Medicare reassignment NPD
• Hattiesburg Community Dental Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1366468266
  NPD
• Northeast Mental Health-Mental Retardation Commission

  dba Lifecore Health Group

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1679903546
  NPD
• Northeast Mental Health/Mental Retardation Commission

  dba Northeast Mental Health-Menta

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tupelo, MS
  • NPI 1801828496
  NPD
• Semrhi Support Service Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1952814469
  NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1811511819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WINGFIELD DR.",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044448",
            "telephone_number": "601-519-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 OLD AIRPORT RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018382",
            "telephone_number": "601-909-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHINGTON",
        "first_name": "ARETHA",
        "middle_name": "M.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARETHA",
            "last_name": "NORTHINGTON",
            "middle_name": "MARCELLA",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Carey Leigh Norris, FNP
• North Forrest Jr/Sr High School
• Timothy W Norton, MD
• Holly D Norwood, PHARMD
• Jana M. Norwood, LPC
• Heather Nosky, MS, ATC, LAT, CES
• Nathaniel Nowacki, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.