NORTHEAST MENTAL HEALTH-MENTA
NPI 1801828496
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tupelo, MS

Active since July 06, 2006
2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4695(662) 680-6416 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2020, Feb 27, 2020 (2 updates tracked since 2020).

About Northeast Mental Health-menta NPPES

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

NORTHEAST MENTAL HEALTH-MENTA (NPI 1801828496) is a healthcare organization registered as a mental health (including community mental health center) in Tupelo, Mississippi and active in the NPI registry since July 2006. The organization lists Raquel Rosamond, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801828496
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTHEAST MENTAL HEALTH/MENTAL RETARDATION COMMISSION
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595 · Fax (662) 680-6416
Fax(662) 680-6416
Organization SubpartNo
Authorized OfficialRaquel RosamondExecutive Director · (662) 640-4595
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1801828496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2434 S EASON BLVD, Tupelo, MS 38804

Other Names 1

Doing Business AsNortheast Mental Health-menta

Other Identifiers 1

Medicaid00018203MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Mental Health-menta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Northeast Mental Health-Menta, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner7
Mental Health Counselor4
Clinical Social Worker2
Psychiatry2
Clinical Psychologist1

Clinicians, nearest first (16)

Mental Health Counselor
NPI 1336802735
2434 S EASON BLVD
Tupelo, MS 38804
(662) 640-4595
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Social Worker
NPI 1629172119
2434 S EASON BLVD
Tupelo, MS 38804
(662) 844-1717
✔ PECOS0.3 mi
Psychiatry
NPI 1508893074
2434 S EASON BLVD
Tupelo, MS 38804
(662) 844-1717
✔ PECOS✔ Accepts Medicare0.6 mi
Psychiatry
NPI 1578654851
REGION III MENTAL HEALTH CENTER 2434 SOUTH EASON BLVD
Tupelo, MS 38804
(662) 844-1717
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1275970725
2434 S EASON BLVD
Tupelo, MS 38804
(662) 844-1717
✔ PECOS✔ Accepts Medicare0.8 mi
Mental Health Counselor
NPI 1932805298
2434 S EASON BLVD
Tupelo, MS 38804
(662) 640-4595
✔ PECOS0.8 mi
Clinical Social Worker
NPI 1467543785
LIFECORE HEALTH GROUP 2434 SOUTH EASON BLVD
Tupelo, MS 38804
(662) 640-4595
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1871674713
499 GLOSTER CREEK VLG SUITE A-3
Tupelo, MS 38801
(662) 844-1717
✔ PECOS3.2 mi
Nurse Practitioner
NPI 1801009592
670 CROSSOVER RD
Tupelo, MS 38801
(662) 844-8414
✔ PECOS3.2 mi
Nurse Practitioner
NPI 1427206556
499 GLOSTER CREEK VLG STE. A-2
Tupelo, MS 38801
(662) 620-6800
✔ PECOS3.3 mi
Clinical Psychologist
NPI 1962597708
152 HIGHWAY 7 S
Oxford, MS 38655
(662) 234-7521
✔ PECOS✔ Accepts Medicare19 mi
Mental Health Counselor
NPI 1245384213
223 E WASHINGTON ST
Houston, MS 38851
(662) 456-9977
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1508553512
3747 HIGHWAY 51 S
Senatobia, MS 38668
(662) 612-4549
✔ PECOS✔ Accepts Medicare79 mi
Nurse Practitioner
NPI 1649753161
8626 AIRWAYS BLVD
Southaven, MS 38671
(662) 832-0302
✔ PECOS✔ Accepts Medicare90 mi
Mental Health Counselor
NPI 1841488517
1415 COLLEGE DR
Meridian, MS 39307
(601) 483-4821
✔ PECOS✔ Accepts Medicare129 mi
Nurse Practitioner
NPI 1811511819
64 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 909-9390
✔ PECOS✔ Accepts Medicare208 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 Northeast Mental Health/Mental Retardation Commission's NPI number?

The NPI number for Northeast Mental Health/Mental Retardation Commission is 1801828496. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Northeast Mental Health-Menta.

Where is Northeast Mental Health/Mental Retardation Commission located?

Northeast Mental Health/Mental Retardation Commission is located at 2434 S Eason Blvd, Tupelo, MS 38804. The listed phone number is (662) 640-4695.

What is Northeast Mental Health/Mental Retardation Commission's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Northeast Mental Health/Mental Retardation Commission enrolled in Medicare?

Yes. Northeast Mental Health/Mental Retardation Commission is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Mental Health/Mental Retardation Commission?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeast Mental Health/Mental Retardation Commission. 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. The largest specialties are Nurse Practitioner (7), Mental Health Counselor (4) and Clinical Social Worker (2). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Mental Health/Mental Retardation Commission accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Northeast Mental Health/Mental Retardation Commission 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 Northeast Mental Health/Mental Retardation Commission was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.