STORK MENTALHEALTH & WELLNESS , LLC
NPI 1588246128
Counselor - Professional in Jackson, MS

Active since April 23, 2021
317 E CAPITOL ST STE 200317, JACKSON, MS 39201(601) 844-7696(601) 861-4940 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 3, 2025, Jun 23, 2025, Jun 3, 2021 and 3 more (6 updates tracked since 2021).

About Stork Mentalhealth & Wellness , Llc NPPES

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

STORK MENTALHEALTH & WELLNESS , LLC (NPI 1588246128) is a healthcare organization registered as a professional in Jackson, Mississippi and active in the NPI registry since April 2021. The organization lists Ranarda Wright, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1588246128
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSTORK MENTALHEALTH & WELLNESS , LLC
Location Address317 E CAPITOL ST STE 200317Jackson, MS 39201-3405
Mailing AddressPo Box 1424Ridgeland, MS 39158-1424
Fax(601) 861-4940
Organization SubpartNo
Authorized OfficialRanarda WrightBusiness Owner · (601) 844-7696
Enumeration DateApril 23, 2021
Last NPPES UpdateJuly 3, 20256 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1588246128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
317 E CAPITOL ST STE 200317, Jackson, MS 39201

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stork Mentalhealth & Wellness , Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stork Mentalhealth & Wellness , LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1467035873
105 W WASHINGTON ST
Ridgeland, MS 39157
(601) 790-7019
✔ PECOS✔ Accepts Medicare9.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stork Mentalhealth & Wellness , LLC's NPI number?

The NPI number for Stork Mentalhealth & Wellness , LLC is 1588246128. It was assigned to this organization in the NPPES registry on April 23, 2021.

Where is Stork Mentalhealth & Wellness , LLC located?

Stork Mentalhealth & Wellness , LLC is located at 317 E Capitol St Ste 200317, Jackson, MS 39201. The listed phone number is (601) 844-7696.

What is Stork Mentalhealth & Wellness , LLC's specialty?

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

Is Stork Mentalhealth & Wellness , LLC enrolled in Medicare?

Yes. Stork Mentalhealth & Wellness , LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stork Mentalhealth & Wellness , LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Stork Mentalhealth & Wellness , LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stork Mentalhealth & Wellness , LLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.