Ignite Clinical Wellness Group
NPI 1184305666 · Mental Health Clinic/Center (Including Community Mental Health Center) · Olive Branch, MS
Ignite Clinical Wellness Group is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Olive Branch, MS (NPI 1184305666).
Provider details
- NPI number
- 1184305666
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derrick Roach, Chief Operations Officer(901) 859-2071
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Frequently asked questions
- What is Ignite Clinical Wellness Group's NPI number?
- Ignite Clinical Wellness Group's National Provider Identifier (NPI) is 1184305666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ignite Clinical Wellness Group?
- Ignite Clinical Wellness Group is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Ignite Clinical Wellness Group located?
- Ignite Clinical Wellness Group's practice location on file with NPPES is 5600 Goodman Rd Ste G, Olive Branch, MS 38654-7002.
- What is Ignite Clinical Wellness Group's phone number?
- The practice phone number listed in the NPPES registry for Ignite Clinical Wellness Group is (662) 985-4101.
- Who is the authorized official for Ignite Clinical Wellness Group?
- The authorized official listed on Ignite Clinical Wellness Group's NPPES record is Derrick Roach, Chief Operations Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ignite Clinical Wellness Group's NPI active?
- Yes — Ignite Clinical Wellness Group's NPI (1184305666) is active in the NPPES registry as of the last update on 2023-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.