Individual provider Active NPI

Victoria Rachelle Owens, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richton, MS
National Provider Identifier
1922874668
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906374 Issued in MS
Practice address
411 Oak St
Richton, MS 39476-7447
Phone
(601) 408-0719
NPI assigned
Dec 4, 2023
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906374 MS Primary

Addresses

Primary practice location

411 Oak St
Richton, MS 39476-7447

Mailing address

155 Cross Creek Pkwy Apt 722
Hattiesburg, MS 39402-4429
Phone (601) 337-6593

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240509001874 MS Practitioner - Nurse Practitioner 0143661058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians
Behavioral Consultant Solutions, LLCGroup PAC ID 1951777572, 7 clinicians

Practice addresses (Care Compare)

129 Ctr St
Suite B
Richland, MS 39218-4800
Phone (769) 233-7141

411 Oak St
Richton, MS 39476-7447
Phone (601) 408-0719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
906374MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Consultant Solutions, LLC Psychiatric/Mental Health CurrentSince Mar 31, 2024 Accepting new patients
Medical Systems Management LLC CurrentSince May 1, 2024 Accepting new patients

Locations

355 Crossgates Blvd
Brandon, MS 39042
Phone (601) 376-2561

129 Center St
Ste B
Richland, MS 39218
Phone (769) 233-7141

4 Erlene Watts Rd
Richton, MS 39476

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1922874668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CROSS CREEK PKWY APT 722",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394024429",
            "telephone_number": "601-337-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 OAK ST",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394767447",
            "telephone_number": "601-408-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "VICTORIA",
        "middle_name": "RACHELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richton, MS

Sources for this page

Verify at the official NPI Registry.