| Hinds County Mental Health | |
|
3450 Highway 80 W Jackson MS 39209-7201 | |
| (601) 321-2400 | |
| (601) 321-2476 |
| Full Name | Hinds County Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3450 Highway 80 W, Jackson, Mississippi |
| Authorized Official Name and Position | Margaret L Harris (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6013212400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hinds County Mental Health Po Box 7777 Jackson MS 39284-7777 Ph: (601) 321-2400 | Hinds County Mental Health 3450 Highway 80 W Jackson MS 39209-7201 Ph: (601) 321-2400 |
| NPI Number | 1205853652 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 11/16/2012 |
| Medicare PECOS PAC ID | 0547265522 |
|---|---|
| Medicare Enrollment ID | O20110831000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205853652 | NPI | - | NPPES |
| 00018209 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R09-1(A) (Mississippi) | Primary |
| Provider Name | Joseph A Kwentus |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1477582096 PECOS PAC ID: 3678567245 Enrollment ID: I20040414001441 |
| Provider Name | Marshall E Belaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568492478 PECOS PAC ID: 1951385715 Enrollment ID: I20040622000549 |
| Provider Name | Maxie Lerone Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427018613 PECOS PAC ID: 2466406798 Enrollment ID: I20050309000456 |
| Provider Name | Belinda M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285815613 PECOS PAC ID: 7012042559 Enrollment ID: I20100323000060 |
| Provider Name | Stella S Culliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821365511 PECOS PAC ID: 1658547815 Enrollment ID: I20120110000574 |
| Provider Name | Tammy M Bartholomew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134546294 PECOS PAC ID: 5294951448 Enrollment ID: I20140723001952 |
| Provider Name | April L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528303294 PECOS PAC ID: 1153549845 Enrollment ID: I20140821000488 |
| Provider Name | Stacey O Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750705513 PECOS PAC ID: 9931329471 Enrollment ID: I20141003000716 |
| Provider Name | Tiffany Melvena Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013302082 PECOS PAC ID: 4587964804 Enrollment ID: I20151118001328 |
| Provider Name | Virginia D Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518323427 PECOS PAC ID: 9234429531 Enrollment ID: I20160527000373 |
| Provider Name | Nicholas Irons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134571458 PECOS PAC ID: 4880988195 Enrollment ID: I20160810000240 |
| Provider Name | John Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114379427 PECOS PAC ID: 8325332273 Enrollment ID: I20160816000711 |
| Provider Name | Jessica P Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295246551 PECOS PAC ID: 7012276322 Enrollment ID: I20180112000615 |
| Provider Name | Latarshia Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427515816 PECOS PAC ID: 0941625099 Enrollment ID: I20200806000522 |
| Provider Name | Tyrah Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932735727 PECOS PAC ID: 8729404843 Enrollment ID: I20200819001737 |
| Provider Name | Nakesia Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063005874 PECOS PAC ID: 0547653644 Enrollment ID: I20220323001398 |
| Provider Name | Kimberly Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750032645 PECOS PAC ID: 8426438086 Enrollment ID: I20220629002453 |
Chandler Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1900 Dunbarton Dr Ste J, Jackson, MS 39216 Phone: 769-428-1681 Fax: 769-241-5091 | |
Gifted Futures Ms Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6040 I-55 North Frontage Rd., Jackson, MS 39211 Phone: 929-466-1305 | |
1st Priority Healthcare Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 River Ridge Dr, Suite 102, Jackson, MS 39216 Phone: 252-315-5165 Fax: 888-376-1118 | |
Key Behavior Essentials L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Dunbarton Dr, Suite I, Jackson, MS 39216 Phone: 504-491-0774 Fax: 336-464-2227 | |
Marion Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Briarwood Dr Ste 510, Jackson, MS 39206 Phone: 601-956-4816 Fax: 601-956-4816 | |
Ridgewood Clinics Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1059 Ridgewood Clinic, Jackson, MS 39211 Phone: 601-957-3211 Fax: 601-957-9753 | |
Jackson State University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-979-1531 |