STACEY M MITCHELL PCMHT
NPI 1528627593
Counselor - Mental Health in Jackson, MS

Active since June 12, 2019
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2400(601) 985-5174 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey M Mitchell Pcmht NPPES

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

STACEY M MITCHELL PCMHT (NPI 1528627593) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1528627593
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY M MITCHELLCredential: PCMHT
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address3450 Highway 80 WJackson, MS 39209-7201 · (601) 321-2400 · Fax (601) 985-5174
Fax(601) 985-5174
Sole ProprietorNo
Enumeration DateJune 12, 2019
NPI 1528627593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3450 HIGHWAY 80 W, Jackson, MS 39209

Other Identifiers 1

Medicaid00018209MS

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.

Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Nurse Practitioner (Psychiatric/Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209

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 Stacey Mitchell's NPI number?

The NPI number for Stacey Mitchell is 1528627593. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Stacey Mitchell located?

Stacey Mitchell practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2400.

What is Stacey Mitchell's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Mitchell was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.