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HINDS BEHAVIORAL
NPI 1164853206
Counselor - Professional in Jackson, MS

Active since November 27, 2013CLIA 25D2256609 · Waiver
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2497(601) 321-2476 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hinds Behavioral NPPES

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

HINDS BEHAVIORAL (NPI 1164853206) is a healthcare organization registered as a professional in Jackson, Mississippi and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Latoria Miller, Insurance Clerk/credenital Speciali, as its authorized official.

NPPES Registry Identity

NPI1164853206
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameHINDS BEHAVIORAL
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address3450 Highway 80 WJackson, MS 39209-7201 · (601) 321-2497 · Fax (601) 321-2476
Phone(601) 321-2497
Fax(601) 321-2476
Organization SubpartNo
Authorized OfficialLatoria MillerInsurance Clerk/credenital Speciali · (601) 321-2497
Enumeration DateNovember 27, 2013
✔ NPI 1164853206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 1827
3450 HIGHWAY 80 W, Jackson, MS 39209
Open in Google Maps ↗

Other Identifiers 1

Medicaid00018209MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 25D2256609

Hinds Behavioral Integrated Care · Jackson, MS
Active · expires Mar 24, 2028
CLIA Number25D2256609
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. Lionel Fraser
Laboratory Phone(769) 237-4581
Laboratory LocationHinds Behavioral Integrated Care3450 Hwy 80W Ste 71, Jackson, MS 39209
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.

ELLEEANNA LAWSON CAT,LMSW
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
MEGAN M MCCARTY LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANGELA NICOLE CHILDRESS LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MRS. EBONY HUMPHERY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANDRIA WILLIS BSW
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (769) 257-4562
BRENDA WALKER
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
EVE WILLIAMS
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MS. ANGELICA GOWDY PCMHT
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400

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 Hinds Behavioral's NPI number?

The NPI number for Hinds Behavioral is 1164853206. It was assigned to this organization in the NPPES registry on November 27, 2013.

Where is Hinds Behavioral located?

Hinds Behavioral is located at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2497.

What is Hinds Behavioral's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Does Hinds Behavioral hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2256609) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hinds Behavioral was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.