OrganizationActive
Potters House Church
NPI 1639506207 · Community/Behavioral Health Agency · Jackson, MS
Potters House Church is a Community/Behavioral Health Agency organization in Jackson, MS (NPI 1639506207).
Provider details
- NPI number
- 1639506207
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Clara Gray, Director(601) 896-5026
- License
- 08930021 (MS)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5913 Floral Dr
Jackson, MS 39206-2413
Phone: (601) 982-9692
Fax: (601) 952-0548
Street-level locationGet directions
Mailing address
Po Box 11303
Jackson, MS 39283-1303
Other names (DBA / former)
- Doing business as
- Molding Minds
Registry dates
- Enumerated
- 2013-09-27
- Last updated
- 2013-09-27
Frequently asked questions
- What is Potters House Church's NPI number?
- Potters House Church's National Provider Identifier (NPI) is 1639506207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potters House Church?
- Potters House Church is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Potters House Church located?
- Potters House Church's practice location on file with NPPES is 5913 Floral Dr, Jackson, MS 39206-2413.
- What is Potters House Church's phone number?
- The practice phone number listed in the NPPES registry for Potters House Church is (601) 982-9692.
- Who is the authorized official for Potters House Church?
- The authorized official listed on Potters House Church's NPPES record is Clara Gray, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potters House Church's NPI active?
- Yes — Potters House Church's NPI (1639506207) is active in the NPPES registry as of the last update on 2013-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.