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Ignite Clinical Wellness Group

Mental Health Clinic/Center (Including Community Mental Health Center) in Olive Branch, MS · enumerated 2023 · authorized official Derrick Roach, Chief Operations Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184305666

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Registry record

Entity type Organization (Type 2)
Legal business name Ignite Clinical Wellness Group
Practice address 5600 Goodman Rd Ste G, Olive Branch, MS, 38654
Phone (662) 985-4101
Fax (662) 404-7288
Enumeration date Jul 27, 2023
Last updated in NPPES Jul 27, 2023

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Derrick Roach
Title Chief Operations Officer
Phone (901) 859-2071

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ignite Clinical Wellness Group?
The NPI for Ignite Clinical Wellness Group is 1184305666, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ignite Clinical Wellness Group?
NPPES lists Derrick Roach (Chief Operations Officer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-27.