REGION TEN STATE OF MS (NPI# 1164931952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164931952 |
| Entity Type | Organization |
| Organization Name | REGION TEN STATE OF MS |
| Other Organization Name | WEEMS COMMUNITY MENTAL HEALTH CENTER HCBS |
| Practice Address |
1415 College Dr Meridian MS 39307-5345 |
| Practice Telephone | (601) 483-4821 |
| Practice Fax Number | 6014858727 |
| Mailing Telephone | 6014834821 |
| Mailing Fax Number | 6014858727 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | LORI WALTON (COO/CFO) |
| Authorized Official Telephone | 6014834821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
REG10-AGENCY | MS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Weems Community Mental Health Center HCBS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093791 | Region Ten State of Ms | Clinic/Center | 832 Highway 19 N Ste 510, Meridian, MS 39307-5876 | 2019-09-26 |
| 1932602174 | Region Ten State of Ms | Clinic/Center | 1405 College Dr, Meridian, MS 39307-5345 | 2018-03-14 |
| 1003326158 | Region Ten State of Ms | Clinic/Center | 701 Northside Dr, Newton, MS 39345-2361 | 2017-10-03 |
| 1700134624 | Region Ten State of Ms | Pharmacy | 1415 College Drive, Meridian, MS 39307 | 2012-08-27 |
| 1073626511 | Region Ten State of Ms | Clinic/Center | 1415 College Dr, Meridian, MS 39307-5345 | 2006-08-17 |
| Street Address |
1415 COLLEGE DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273885 | Stephanie L Cooper | Psychologist | 1415 College Dr, Meridian, MS 39307-5345 | 2005-11-23 |
| 1528546363 | Constance Bradley | Nurse Practitioner | 1415 College Dr, Meridian, MS 39307-5345 | 2018-08-03 |
| 1295246551 | Jessica Pettis Curry | Registered Nurse | 1415 College Dr, Meridian, MS 39307-5345 | 2017-10-13 |
| 1598297392 | Aurthur Goodwin | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2017-03-30 |
| 1528505021 | Tracy Smith | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2017-01-23 |
| 1033563432 | Jessica Mccoy | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2016-04-21 |
| 1780068056 | Amelia Margaret Kelley | Nurse Practitioner | 1415 College Dr, Meridian, MS 39307-5345 | 2015-07-16 |
| 1427446558 | Laquita Bush | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-12-23 |
| 1952707267 | Lasherish Derrick | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-11-13 |
| 1346645819 | Jonnie Hardy | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932602174 | Region Ten State of Ms | Clinic/Center | 1405 College Dr, Meridian, MS 39307-5345 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003392119 | Shelia Denise Black | Clinic/Center | 564 Cypress Ln Apt 26d, Greenville, MS 38701-7425 | 2018-07-12 |
| 1043239916 | Boswell Regional Center | Clinic/Center | 445 Main St E, Meadville, MS 39653-9293 | 2006-07-19 |
| 1952662157 | Autism Center of North Mississippi, Inc. | Clinic/Center | 146 S Thomas St, Ste. C, Tupelo, MS 38801-5328 | 2012-06-04 |
| 1255631610 | First Counseling Inc | Clinic/Center | 6888 Goodman Rd, Suite 123, Olive Branch, MS 38654-8759 | 2010-11-01 |
| 1104079870 | Honor Therapy Services, LLC | Clinic/Center | 1308 Barlow Dr, Utica, MS 39175-9423 | 2008-10-28 |
Please comment or provide details below to improve the information on REGION TEN STATE OF MS.
| 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.