Ssipp Select Basketball & Mentoring Program Non Profit
NPI 1396315792 · Community/Behavioral Health Agency · Gulfport, MS
Ssipp Select Basketball & Mentoring Program Non Profit is a Community/Behavioral Health Agency organization in Gulfport, MS (NPI 1396315792).
Provider details
- NPI number
- 1396315792
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Leonard Bennett, Director(662) 519-1608
Specialties & taxonomies
Agencies
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Ssipp Select Basketball & Mentoring Program Non Profit
- Doing business as
- Ssipp Select Basketball & Mentoring Non Profit
Additional practice locations (1)
- 3 Nottingham CirGulfport, MS 39503-4021
Registry dates
- Enumerated
- 2021-06-28
- Last updated
- 2021-06-28
- Certified
- 2021-06-27
Frequently asked questions
- What is Ssipp Select Basketball & Mentoring Program Non Profit's NPI number?
- Ssipp Select Basketball & Mentoring Program Non Profit's National Provider Identifier (NPI) is 1396315792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ssipp Select Basketball & Mentoring Program Non Profit?
- Ssipp Select Basketball & Mentoring Program Non Profit is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Ssipp Select Basketball & Mentoring Program Non Profit located?
- Ssipp Select Basketball & Mentoring Program Non Profit's practice location on file with NPPES is 3 Nottingham Cir, Gulfport, MS 39503-4021.
- What is Ssipp Select Basketball & Mentoring Program Non Profit's phone number?
- The practice phone number listed in the NPPES registry for Ssipp Select Basketball & Mentoring Program Non Profit is (662) 519-1608.
- Who is the authorized official for Ssipp Select Basketball & Mentoring Program Non Profit?
- The authorized official listed on Ssipp Select Basketball & Mentoring Program Non Profit's NPPES record is Leonard Bennett, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ssipp Select Basketball & Mentoring Program Non Profit's NPI active?
- Yes — Ssipp Select Basketball & Mentoring Program Non Profit's NPI (1396315792) is active in the NPPES registry as of the last update on 2021-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.