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WARREN YAZOO MENTAL HEALTH SERVICE
NPI 1023002920
Clinic/Center - Mental Health (Including Community Mental Health Center) in Vicksburg, MS

Active since September 07, 2005CLIA 25D2046239 · Waiver
3444 WISCONSIN AVE, VICKSBURG, MS 39180(601) 638-0031(601) 634-0234 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Warren Yazoo Mental Health Service NPPES

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

WARREN YAZOO MENTAL HEALTH SERVICE (NPI 1023002920), doing business as Warren Yazoo Mental Health Service, Inc, is a healthcare organization registered as a mental health (including community mental health center) in Vicksburg, Mississippi and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Rick Vessell, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1023002920
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWARREN YAZOO MENTAL HEALTH SERVICE
Location Address3444 WISCONSIN AVEVicksburg, MS 39180-5331
Mailing Address3444 Wisconsin AveVicksburg, MS 39180-5331 · (601) 638-0031 · Fax (601) 634-0234
Phone(601) 638-0031
Fax(601) 634-0234
Organization SubpartNo
Authorized OfficialRick VessellChief Financial Officer · (601) 638-0031
Enumeration DateSeptember 7, 2005
Last NPPES UpdateFebruary 6, 2017
✔ NPI 1023002920 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
License✔ Licensed in MS · R15-1
3444 WISCONSIN AVE, Vicksburg, MS 39180
Open in Google Maps ↗

Other Names 1

Former Legal Business NameWarren Yazoo Mental Health Service, Inc

Other Identifiers 3

Medicaid00018215MS
Medicaid00770336MS
Medicare ID-Type Unspecified254607MS · Medicare Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 25D2046239

Warren Yazoo Mental Health Service · Vicksburg, MS
Active · expires Aug 28, 2026
CLIA Number25D2046239
Laboratory TypeChemical Dependency Cente
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorDonald G. Brown
Laboratory Phone(601) 634-0181
Laboratory LocationWarren Yazoo Mental Health Service3442 Wisconsin Avenue, Vicksburg, MS 39180
CLIA data matches this NPI record on: Name
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.

TIFFANY SMITH
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
FELICIA WILSON PCMHT
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
HEATHER POTTS
Counselor (Addiction (Substance Use Disorder))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ROSALYN GLASCOE
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ANN NELSON LSW
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MILLICENT LEDBETTER
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MADALENE J BARKSDALE-MAYFIELD
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ELIZABETH NAYA
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031

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 Warren Yazoo Mental Health Service's NPI number?

The NPI number for Warren Yazoo Mental Health Service is 1023002920. It was assigned to this organization in the NPPES registry on September 7, 2005. The provider was formerly known as Warren Yazoo Mental Health Service, Inc.

Where is Warren Yazoo Mental Health Service located?

Warren Yazoo Mental Health Service is located at 3444 Wisconsin Ave, Vicksburg, MS 39180. The listed phone number is (601) 638-0031.

What is Warren Yazoo Mental Health Service'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 Warren Yazoo Mental Health Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2046239) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Warren Yazoo Mental Health Service accept?

Health plans from Molina Healthcare list Warren Yazoo Mental Health Service as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Warren Yazoo Mental Health Service was last updated on February 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.