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SINGING RIVER SERVICES
NPI 1003189382
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gautier, MS

Active since February 16, 2012CLIA 25D2050922 · Waiver
3407 SHAMROCK CT, GAUTIER, MS 39553(228) 497-0690(228) 497-1363 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Singing River Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SINGING RIVER SERVICES (NPI 1003189382) is a healthcare organization registered as a mental health (including community mental health center) in Gautier, Mississippi and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Sherman F Blackwell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003189382
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSINGING RIVER SERVICES
Location Address3407 SHAMROCK CTGautier, MS 39553-5337
Mailing Address3407 Shamrock CtGautier, MS 39553-5337 · (228) 497-0690 · Fax (228) 497-1363
Phone(228) 497-0690
Fax(228) 497-1363
Organization SubpartNo
Authorized OfficialSherman F BlackwellExecutive Director · (228) 497-0690
Enumeration DateFebruary 16, 2012
✔ NPI 1003189382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3407 SHAMROCK CT, Gautier, MS 39553
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2050922

Singing River Services - Stevens Center · Pascagoula, MS
Active · expires Dec 9, 2026
CLIA Number25D2050922
Laboratory TypeResidental A&d Tx Center
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorBeth Fenech
Laboratory Phone(228) 497-0690
Laboratory LocationSinging River Services - Stevens Center4905 Telephone Rd, Pascagoula, MS 39567
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PEGGY LYNN FENDLEY M.ED.
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MRS. JODI LEIGHANN CARLISLE MS COUNSELING PSYCHO
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
LANESHA JOSHUA BSW
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
DANA WEEKS
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
HILARY LOUISE PENNELL B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MS. ANGELA DENISE TOUCHET B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
VALENCIA HENDERSON
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
TIFFANY ALYCIA BAKER
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Singing River Services's NPI number?

The NPI number for Singing River Services is 1003189382. It was assigned to this organization in the NPPES registry on February 16, 2012.

Where is Singing River Services located?

Singing River Services is located at 3407 Shamrock Ct, Gautier, MS 39553. The listed phone number is (228) 497-0690.

What is Singing River Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Singing River Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2050922) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Singing River Services was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.