REGION IV MENTAL HEALTH SERVICES BEACON HOUSE (NPI# 1467887190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467887190 |
| Entity Type | Organization |
| Organization Name | REGION IV MENTAL HEALTH SERVICES BEACON HOUSE |
| Practice Address |
2040 Paul Edmondson Drive Iuka MS 38852 |
| Mailing Address |
Po Box 839 Corinth MS 38835-0839 |
| Practice Telephone | 6624233622 |
| Practice Fax Number | 6624233331 |
| Mailing Telephone | 6622869883 |
| Mailing Fax Number | 6622849836 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | MR. CHARLIE SPEARMAN SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6627282185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2040 PAUL EDMONDSON DRIVE |
| City | IUKA |
| State | MS |
| Zip Code | 38852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850278 | Amy Melissa Selmon | Registered Nurse | 904 North Pearl Street, Iuka, MS 38852 | 2020-08-05 |
| 1619346475 | Michelle Johnson | Social Worker | 1223 Maria Ln, Iuka, MS 38852 | 2015-09-22 |
| 1538580386 | Mary Beth Sheffield | Dietitian, Registered | 179 Cr 995, Iuka, MS 38852 | 2013-12-20 |
| 1801018106 | Preferred Care Rehab | Occupational Therapist | 502 Battleground Drive, Iuka, MS 38852 | 2007-05-03 |
| 1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
| 1235272790 | Jocelyn B Doran | Dentist | 238 Kaki Street, Iuka, MS 38852 | 2007-02-15 |
| 1902953631 | Jimmy Ray Sanchez II | Chiropractor | 2009 Constitution Dr, Iuka, MS 38852 | 2007-01-04 |
| 1952476707 | Family Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Battleground Drive, Iuka, MS 38852 | 2006-11-21 |
| 1669481875 | Barnett Apothecary, LLC | Pharmacist | 606 Battleground Dr, Iuka, MS 38852 | 2006-08-05 |
| 1912979592 | Ben Earl Kitchens | Family Medicine | 302 Kaki St, Iuka, MS 38852 | 2006-02-07 |
| Find all providers in zip 38852 | ||||
| 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 |
|---|---|---|---|---|
| 1265807903 | Healing Spirit Counseling Service LLC | Community/Behavioral Health | 629 Constitution Dr, Iuka, MS 38852-8201 | 2015-12-07 |
| 1942429907 | Region Iv Mental Health Services | Community/Behavioral Health | 1213 Maria Lane, Iuka, MS 38852-1135 | 2007-04-25 |
| 1477078939 | Tanechi Temple | Community/Behavioral Health | 1213 Maria Ln, Iuka, MS 38852-1135 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738618 | 360inc. | Community/Behavioral Health | 8547 Highway 178, Byhalia, MS 38611-9670 | 2020-10-18 |
| 1407469141 | Life Seasons Counseling, LLC | Community/Behavioral Health | 116 N Columbia St, Pontotoc, MS 38863-2002 | 2020-08-24 |
| 1255959888 | Empowering Minds Counseling and Consultant Services,llc | Community/Behavioral Health | 1114 Robinson St # A, Ocean Springs, MS 39564-3842 | 2020-07-09 |
| 1194349795 | Creative Sisters Counseling LLC | Community/Behavioral Health | 134 Fairmont St Ste C, Clinton, MS 39056-4739 | 2020-05-31 |
| 1386272094 | Mississippi Behavioral Health Care, LLC | Community/Behavioral Health | 1312 Harrison Ave Ste C, Mccomb, MS 39648-2805 | 2020-03-29 |
| 1538703053 | Quest Fitness | Community/Behavioral Health | 1693 Lakeover Rd, Jackson, MS 39213-8015 | 2019-10-29 |
| 1265080576 | Health Connect America, Inc | Community/Behavioral Health | 104 Highway 15 N, New Albany, MS 38652-5313 | 2019-08-29 |
| 1326502535 | V.k. Johnson, Lcsw & Consultants, LLC | Community/Behavioral Health | 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 | 2019-01-22 |
| 1801362264 | Solution Journey Counseling, LLC | Community/Behavioral Health | 301 Humble Ave Ste 160, Hattiesburg, MS 39401-6343 | 2018-10-23 |
| 1316412646 | Delta Counseling Services LLC | Community/Behavioral Health | 103 S Court St Ste 116, Cleveland, MS 38732-2651 | 2018-10-13 |
| Find all providers with the same taxonomy | ||||
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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.