Individual provider Active NPI

Tonya Gail Mitchell, LMSW

  • Social Worker
  • Flowood, MS
National Provider Identifier
1942925227
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M9728 Issued in MS
Practice address
499 Keywood Cir Ste a
Flowood, MS 39232-3001
Phone
(601) 387-0070
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M9728 MS Primary

Addresses

Primary practice location

499 Keywood Cir Ste a
Flowood, MS 39232-3001

Mailing address

546 Rusk Dr
Brandon, MS 39047-8069
Phone (662) 614-5697

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tobiascounseling@g1stmdb.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M9728MSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1942925227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 RUSK DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478069",
            "telephone_number": "662-614-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 KEYWOOD CIR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323001",
            "telephone_number": "601-387-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TONYA",
        "middle_name": "GAIL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M9728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tobiascounseling@g1stmdb.com",
            "affiliation": "N",
            "address_1": "499 Keywood Cir Ste A",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392323001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.