RIDGEWOOD CLINICS PA
NPI 1023233749
Counselor - Mental Health in Jackson, MS

Q: What is Ridgewood Clinics PA's NPI number?

The NPI number for Ridgewood Clinics PA is 1023233749. It was assigned to this organization in the NPPES registry on April 16, 2007.

Q: What is Ridgewood Clinics PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 16, 2007

1059 RIDGEWOOD CLINIC, JACKSON, MS 39211(601) 957-3211(601) 957-9753 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ridgewood Clinics Pa NPPES

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

RIDGEWOOD CLINICS PA (NPI 1023233749) is a healthcare organization registered as a mental health in Jackson, Mississippi and active in the NPI registry since April 2007. The organization lists Krishan K. Gupta, Physician, as its authorized official.

NPPES Registry Identity

NPI1023233749

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameRIDGEWOOD CLINICS PA

Location Address1059 RIDGEWOOD CLINICJackson, MS 39211

Mailing Address1059 Ridgewood ClinicJackson, MS 39211 · (601) 957-3211 · Fax (601) 957-9753

Phone(601) 957-3211

Fax(601) 957-9753

Organization SubpartNo

Authorized OfficialKrishan K. GuptaPhysician · (601) 957-3211

Enumeration DateApril 16, 2007

Last NPPES UpdateAugust 27, 2014

✔ NPI 1023233749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MS · 12941

1059 RIDGEWOOD CLINIC, Jackson, MS 39211

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Other Identifiers 2

Medicaid09013996MS

Medicare ID-Type UnspecifiedC02024MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D2071185

Ridgewood Clinics · Jackson, MS

Expired · Jul 28, 2026

CLIA Number25D2071185

Laboratory TypePhysician Office

Certificate Effective DateJuly 29, 2024

Certificate Expiration DateJuly 28, 2026

Laboratory DirectorKrishan K. Gupta

Laboratory Phone(601) 957-3211

Laboratory LocationRidgewood Clinics1059 Ridgewood Place, Jackson, MS 39211

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Ridgewood Clinics PA's NPI number?

The NPI number for Ridgewood Clinics PA is 1023233749. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Ridgewood Clinics PA located?

Ridgewood Clinics PA is located at 1059 Ridgewood Clinic, Jackson, MS 39211. The listed phone number is (601) 957-3211.

What is Ridgewood Clinics PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Ridgewood Clinics PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Ridgewood Clinics PA 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 Ridgewood Clinics PA was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.