Beacon Behavioral Health-Jackson
NPI 1194964049 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, MS
Beacon Behavioral Health-Jackson is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Jackson, MS (NPI 1194964049).
Provider details
- NPI number
- 1194964049
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phillip Wendell, Ceo(225) 810-4040
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-02-17
- Last updated
- 2009-02-17
Frequently asked questions
- What is Beacon Behavioral Health-Jackson's NPI number?
- Beacon Behavioral Health-Jackson's National Provider Identifier (NPI) is 1194964049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beacon Behavioral Health-Jackson?
- Beacon Behavioral Health-Jackson is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Beacon Behavioral Health-Jackson located?
- Beacon Behavioral Health-Jackson's practice location on file with NPPES is 5360 I 55 N, Jackson, MS 39211-4026.
- What is Beacon Behavioral Health-Jackson's phone number?
- The practice phone number listed in the NPPES registry for Beacon Behavioral Health-Jackson is (601) 373-4507.
- Who is the authorized official for Beacon Behavioral Health-Jackson?
- The authorized official listed on Beacon Behavioral Health-Jackson's NPPES record is Phillip Wendell, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beacon Behavioral Health-Jackson's NPI active?
- Yes — Beacon Behavioral Health-Jackson's NPI (1194964049) is active in the NPPES registry as of the last update on 2009-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.