Active NPI
Mind Body Therapy, Inc
- Clinical Social Worker
- Columbus, MS
National Provider Identifier
1962355289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MIND BODY THERAPY, INC
- Practice address
- 124 5TH St N
Columbus, MS 39701-4522 - Phone
- (662) 889-7923
- NPI assigned
- Feb 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Tubbs, TUBBS
- Title
- Owner
- Phone
- (662) 312-6698
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
124 5TH St N
Columbus, MS 39701-4522
Mailing address
3290 Military Rd
Columbus, MS 39705-9172
Phone (662) 312-6698
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C10714 | Other | MS | LICENSE |
| 200007504 | Medicaid | MS | |
| 5809C | Other | AL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
124 5th St N
Columbus, MS 39701
Phone (662) 889-7923
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": "1771286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1962355289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 MILITARY RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397059172",
"telephone_number": "662-312-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397014522",
"telephone_number": "662-889-7923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND BODY THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "TUBBS",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-312-6698",
"authorized_official_credential": "TUBBS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "C10714",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200007504",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5809C",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.