Organization Active NPI

Synergy Psychotherapy

  • Mental Health Counselor
  • Pass Christian, MS
National Provider Identifier
1902551799
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SYNERGY PSYCHOTHERAPY
Practice address
1000 Kiln Delisle Rd Ste D
Pass Christian, MS 39571-9701
Phone
(601) 283-2281
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Christina Palazzo, LPCNPI 1578761300
Title
Owner
Phone
(228) 547-5578

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1000 Kiln Delisle Rd Ste D
Pass Christian, MS 39571-9701

Mailing address

PO Box 6298
Diamondhead, MS 39525-6004
Phone (601) 283-2281

Other identifiers 1

IdentifierTypeStateIssuer
007258295MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250222000077 MS Part B Supplier - Clinic/Group Practice 1254851165 Receives reassigned benefits from 1 practitioner
Practice locations: Pass Christian, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1902551799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6298",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395256004",
            "telephone_number": "601-283-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KILN DELISLE RD STE D",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395719701",
            "telephone_number": "601-283-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-547-5578",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007258295",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pass Christian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.