COMMUNITY MENTAL HEALTH CLINIC, LLC
NPI 1871358184
Clinic/Center - Adult Mental Health in Pearl, MS

Active since February 15, 2024
200 SAINT PAUL ST, PEARL, MS 39208(601) 665-7983 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Community Mental Health Clinic, Llc NPPES

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

COMMUNITY MENTAL HEALTH CLINIC, LLC (NPI 1871358184) is a healthcare organization registered as an adult mental health in Pearl, Mississippi and active in the NPI registry since February 2024. The organization lists Latonya Jaton Mcgowan, Owner, as its authorized official.

NPPES Registry Identity

NPI1871358184
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCOMMUNITY MENTAL HEALTH CLINIC, LLC
Location Address200 SAINT PAUL STPearl, MS 39208-5134
Mailing Address1393 Old Pearson RdFlorence, MS 39073-9468 · (601) 665-7983
Organization SubpartNo
Authorized OfficialLatonya Jaton McgowanOwner · (601) 665-7983
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1871358184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
200 SAINT PAUL ST, Pearl, MS 39208

Other Names 1

Other NameCommunity Mental Health Clinic, Llc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Mental Health Clinic, 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 Community Mental Health Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1467018390
1393 OLD PEARSON RD
Florence, MS 39073
(601) 665-7983
✔ PECOS✔ Accepts Medicare5.4 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 Community Mental Health Clinic, LLC's NPI number?

The NPI number for Community Mental Health Clinic, LLC is 1871358184. It was assigned to this organization in the NPPES registry on February 15, 2024.

Where is Community Mental Health Clinic, LLC located?

Community Mental Health Clinic, LLC is located at 200 Saint Paul St, Pearl, MS 39208. The listed phone number is (601) 665-7983.

What is Community Mental Health Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Community Mental Health Clinic, LLC enrolled in Medicare?

Yes. Community Mental Health Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Mental Health Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Community Mental Health Clinic, 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 Community Mental Health Clinic, LLC was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.