NPIMap

Organization Active NPI

Region VII MH Mr Commission

  • Mental Health Counselor
  • Starkville, MS
National Provider Identifier
1992966758
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REGION VII MH MR COMMISSION
Practice address
302 N Jackson St
Starkville, MS 39759-2504
Phone
(662) 323-9261
Fax
(662) 324-9647
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Susan Baker
Title
Coo
Phone
(662) 323-9261

Specialties & licenses 1

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

Addresses

Primary practice location

302 N Jackson St
Starkville, MS 39759-2504

Mailing address

302 N Jackson St
Starkville, MS 39759-2504
Phone (662) 323-9261

Other identifiers 1

IdentifierTypeStateIssuer
09014071MedicaidMS

Other names 1

  • COMMUNITY COUNSELING SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1992966758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N JACKSON ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592504",
            "telephone_number": "662-323-9261",
            "fax_number": "662-324-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N JACKSON ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592504",
            "telephone_number": "662-323-9261",
            "fax_number": "662-324-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION VII MH MR COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "662-323-9261"
    },
    "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": "09014071",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY COUNSELING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.