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152 Highway 7 S Oxford MS 38655-5392 | |
| (662) 234-7521 | |
| (662) 236-3071 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 152 Highway 7 S, Oxford, Mississippi |
| Authorized Official Name and Position | Sandy A Rogers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6622347521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
152 Highway 7 S Oxford MS 38655-5392 Ph: (662) 234-7521 | 152 Highway 7 S Oxford MS 38655-5392 Ph: (662) 234-7521 |
| NPI Number | 1558468694 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/07/2017 |
| Medicare PECOS PAC ID | 6103084041 |
|---|---|
| Medicare Enrollment ID | O20120222001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558468694 | NPI | - | NPPES |
| 00018202 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | REG2-AGENCY (Mississippi) | Primary |
| Provider Name | Anthony W Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154477453 PECOS PAC ID: 7810883485 Enrollment ID: I20040403000154 |
| Provider Name | Jorge Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376559468 PECOS PAC ID: 8325095805 Enrollment ID: I20080903000128 |
| Provider Name | Olamide Alabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821453648 PECOS PAC ID: 2769772227 Enrollment ID: I20160613000806 |
| Provider Name | Lisa Hillhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467635185 PECOS PAC ID: 4385042357 Enrollment ID: I20211005001938 |
| Provider Name | Denise Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689813925 PECOS PAC ID: 2163820838 Enrollment ID: I20211011000934 |
| Provider Name | Kamelia Shumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568160844 PECOS PAC ID: 7911365424 Enrollment ID: I20230615000426 |
| Provider Name | Marecia M Spearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114611209 PECOS PAC ID: 5890157077 Enrollment ID: I20230821001550 |
| Provider Name | Rochelle Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629373444 PECOS PAC ID: 6507204526 Enrollment ID: I20240409003911 |
| Provider Name | Connie Leigh Arterberry Msw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407417504 PECOS PAC ID: 8820436843 Enrollment ID: I20240409004096 |
| Provider Name | Edith M Mckinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972849008 PECOS PAC ID: 3779921705 Enrollment ID: I20240409004372 |
| Provider Name | Robin Minyard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538839196 PECOS PAC ID: 4183063787 Enrollment ID: I20240422001695 |
| Provider Name | Thomas J. Stack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578798799 PECOS PAC ID: 4981908837 Enrollment ID: I20240424001311 |
| Provider Name | Alice Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679021562 PECOS PAC ID: 4688014723 Enrollment ID: I20240506004335 |
| Provider Name | Kendra Lloyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962747055 PECOS PAC ID: 4981140076 Enrollment ID: I20240725000903 |
| Provider Name | Reba Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053890731 PECOS PAC ID: 2365881877 Enrollment ID: I20240807003287 |
| Provider Name | Macarah Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255947248 PECOS PAC ID: 9234671272 Enrollment ID: I20240826000798 |
| Provider Name | Kiffany Nicole Rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114544400 PECOS PAC ID: 4981042918 Enrollment ID: I20240828000541 |
| Provider Name | Shanterrica Pegues |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417733064 PECOS PAC ID: 9537608062 Enrollment ID: I20240828004704 |
| Provider Name | Tonicia Mcglothian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285348870 PECOS PAC ID: 3375078926 Enrollment ID: I20241120000773 |
| Provider Name | Megan Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467636910 PECOS PAC ID: 5496280398 Enrollment ID: I20241202002977 |
| Provider Name | Jerry M Madden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104009893 PECOS PAC ID: 9638604440 Enrollment ID: I20241202003557 |
Pathways Counseling Service, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Westminster Dr, Oxford, MS 38655 Phone: 662-561-5765 | |
Mhk Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Glen Alden Cir, Oxford, MS 38655 Phone: 630-886-3257 | |
Lafayette Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2887 S Lamar Blvd, Oxford, MS 38655 Phone: 662-638-8877 | |
Cdl Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2690 W Oxford Loop Ste 146, Oxford, MS 38655 Phone: 662-801-5535 | |
Acceptance Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2692 W Oxford Loop, Oxford, MS 38655 Phone: 662-533-0220 | |
Oxford Play Therapy Training Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2653 W Oxford Loop, Suite 104, Oxford, MS 38655 Phone: 662-234-6848 Fax: 662-234-9792 |