REGION IV OUTPATIENT MENTAL HEALTH (NPI# 1013315845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013315845 |
| Entity Type | Organization |
| Organization Name | REGION IV OUTPATIENT MENTAL HEALTH |
| Practice Address |
301 S Cass St Corinth MS 38834-6109 |
| Mailing Address |
Po Box 839 Corinth MS 38835-0839 |
| Practice Telephone | 6622869860 |
| Practice Fax Number | 6622868095 |
| Mailing Telephone | 6622879883 |
| Mailing Fax Number | 6622849836 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | MR. CHARLIE D SPEARMAN SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6622879883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
301 S CASS ST |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295049294 | Misty Weaver | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2010-08-02 |
| 1336609072 | Amanda Elizabeth Trimble | Case Manager/Care Coordinator | 301 S Cass St, Corinth, MS 38834-6109 | 2019-03-20 |
| 1669718680 | Adrian Barclay Owen | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2012-12-19 |
| 1568722718 | Phillip D Barry | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2012-05-22 |
| 1164795977 | Jared Hight | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2012-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190720 | Region Iv Mental Health Services Light House | Community/Behavioral Health | 2105 Proper St, Corinth, Corinth, MS 38834-5247 | 2013-09-06 |
| 1063847200 | Region Iv Mental Health Services-nfusion Office | Community/Behavioral Health | 2050 Highway 72 E Anx, Corinth, MS 38834-8800 | 2013-09-06 |
| 1114153434 | Choices | Community/Behavioral Health | 263 Main St Ste 1, Corinth, ME 04427-3023 | 2009-06-01 |
| 1013431477 | Valerie Gunther | Community/Behavioral Health | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2017-07-27 |
| 1942579826 | Region Iv Mental Health Services | Community/Behavioral Health | 303 N Madison St, Corinth, MS 38834-5072 | 2011-12-21 |
| 1336424589 | Region Iv Mental Health Services-alcorn Children's | Community/Behavioral Health | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2011-10-19 |
| 1154601219 | Region Iv Mental Health Services | Community/Behavioral Health | 303 N Madison St, Corinth, MS 38834-5072 | 2011-08-22 |
| 1508163114 | Region Iv Mental Health Services Crisis Center-corinth | Community/Behavioral Health | 1000 State St, Corinth, MS 38834-9307 | 2011-02-16 |
| 1326353939 | Carol M Gray | Community/Behavioral Health | 1000 State Street, Corinth, MS 38834 | 2010-08-09 |
| 1306150404 | Traci Dobbs | Community/Behavioral Health | 303 N Madison St, Corinth, MS 38834-5072 | 2010-07-30 |
| Find all providers in CORINTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.