Blissful Nursing and Mental Health Services, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLISSFUL NURSING AND MENTAL HEALTH SERVICES, PC

Doing business as

Blissful Nursing and Mental Health Services

Practice address

8900 Ms Highway 15
Ackerman, MS 39735-9644

Phone

(662) 387-7167

NPI assigned

May 19, 2021

Last updated

May 19, 2021By 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

Yoshie Lilley, FNP-C, PMHNP-BCNPI 1528475217

Title

Owner and Nurse Practitioner

Phone

(623) 877-1676

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Blissful Nursing and Mental Health Services Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Tax ID family

Blissful Nursing and Mental Health2 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.

• Blissful Nursing and Mental Health Service

  • Family Medicine Physician
  • Ackerman, MS
  • NPI 1215502232
  NPD tax ID

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.

• Yoshie Sheray Lilley, FNP-C

  • Family Nurse Practitioner
  • Ackerman, MS
  • NPI 1528475217
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1841864196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397350242",
            "telephone_number": "662-387-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 MS HIGHWAY 15",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397359644",
            "telephone_number": "662-387-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL NURSING AND MENTAL HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "LILLEY",
        "authorized_official_first_name": "YOSHIE",
        "authorized_official_title_or_position": "OWNER AND NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-877-1676",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06681838",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yslilley@yahoo.com",
            "affiliation": "N",
            "address_1": "8900 MS Highway 15",
            "city": "Ackerman",
            "state": "MS",
            "country_code": "US",
            "postal_code": "397359644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blissful Nursing and Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanna Bryant Baker, M.ED., CCC-SLP
• Rachel Barnett
• Melva Barrow
• Sandra F Black, LCSAC
• Blissful Nursing and Mental Health Service
• Jennie Bobo, MSW
• Hannah Bowman, NURSE PRACTITIONER
• Brandywine Health Services of Mississippi, Inc (Choctaw County Medical Center, ERP)
• Brandywine Health Services of Mississippi, Inc (Choctaw County Medical Center Swing Bed)
• Brandywine Health Services of Mississippi, Inc (Choctaw County Medical Center Senior Care Unit)

• Family Medicine Physician in Ackerman, MS
• Providers in Ackerman, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.