PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES, PA
NPI 1679135982
Counselor - Mental Health in Jackson, MS
About Primary And Behavioral Healthcare Services, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES, PA (NPI 1679135982) is a healthcare organization registered as a mental health in Jackson, Mississippi and active in the NPI registry since July 2019. The organization lists Shameca Leonora Hudson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary And Behavioral Healthcare Services, Pa 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 Primary And Behavioral Healthcare Services, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Primary And Behavioral Healthcare Services, PA's NPI number?
The NPI number for Primary And Behavioral Healthcare Services, PA is 1679135982. It was assigned to this organization in the NPPES registry on July 8, 2019.
Where is Primary And Behavioral Healthcare Services, PA located?
Primary And Behavioral Healthcare Services, PA is located at 717 E Fortification St, Jackson, MS 39202. The listed phone number is (769) 572-4009.
What is Primary And Behavioral Healthcare Services, PA's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Primary And Behavioral Healthcare Services, PA enrolled in Medicare?
Yes. Primary And Behavioral Healthcare Services, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary And Behavioral Healthcare Services, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Primary And Behavioral Healthcare Services, PA. 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 Primary And Behavioral Healthcare Services, PA was last updated on October 28, 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.
# Primary And Behavioral Healthcare Services, Pa · NPI 1679135982
Mental Health organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since July 8, 2019.
## Identity
- **NPI:** 1679135982 (Entity type: Organization)
- **Enumerated:** July 8, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Shameca Hudson, CEO
## Practice location
- **Address:** 717 E FORTIFICATION ST, Jackson, MS 39202-2402
- **Phone:** (769) 572-4009 · **Fax:** (769) 572-4021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1679135982) · Data from the CMS NPPES public registry.