COUNSELING AND MENTORING PROGRAM


Address: 2964 Terry Road B-1, Jackson, MS 39212
Phone: 6013716500

COUNSELING AND MENTORING PROGRAM (NPI# 1609164748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609164748
Entity Type Organization
Organization Name COUNSELING AND MENTORING PROGRAM
Practice Address 2964 Terry Road B-1
Jackson
MS 39212
Practice Telephone 6013716500
Mailing Telephone 6013716500
Enumeration Date 2011-07-11
Last Update Date 2011-07-11
Authorized Official Name MISS DANAH EVANS (ADMINISTRATOR)
Authorized Official Telephone 6013716500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 2964 TERRY ROAD B-1
City JACKSON
State MS
Zip Code 39212

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013406172 South Central Community Action Agency, Inc Non-emergency Medical Transport (VAN) 3891 I-55 South Frontage Rd, Jackson, MS 39212 2018-05-04
1508305780 Caring Companions LLC Home Health 1024 Cooper Rd, Jackson, MS 39212 2017-02-21
1750634044 Christians In Action, Inc. Community/Behavioral Health 2025 North Siwell Rd, Jackson, MS 39212 2012-10-24
1407179039 Caring Hands Community Services Inc Skilled Nursing Facility 3318 Longwood Drive, Jackson, MS 39212 2010-03-10
1992239404 Shaemik Harris Registered Nurse 3520 Sykes Park Dr, Jackson, MS 39212 2017-04-12
1780044438 Alfonzo Haralson Counselor 132 Thousand Oaks Cir, Jackson, MS 39212-2046 2016-02-24
1659384063 Kentrell Marie Liddell Family Medicine 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 2006-08-15
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1912455361 Victorious Healthcare L.L.C. Assisted Living Facility 4959 Laurel Oak Dr, Jackson, MS 39212-2150 2016-09-14
1235523549 Chanda M Rhodes Counselor 125 Cedarwood Dr, Jackson, MS 39212-2208 2015-03-25
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437768801 Abc Center for Learning Inc Community/Behavioral Health 4939 Ledgerock St, Jackson, MI 49201-8128 2020-07-30
1538703053 Quest Fitness Community/Behavioral Health 1693 Lakeover Rd, Jackson, MS 39213-8015 2019-10-29
1326502535 V.k. Johnson, Lcsw & Consultants, LLC Community/Behavioral Health 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 2019-01-22
1215410816 Feed Your Soul LLC Community/Behavioral Health 180 W University Pkwy Ste D, Jackson, TN 38305-1612 2018-09-10
1184103061 Ymca of Greater Monmouth County Community/Behavioral Health 1025 Larsen Rd, Jackson, NJ 08527-1315 2018-08-10
1649759523 Ymca of Greater Monmouth County Community/Behavioral Health 75 W Veterans Hwy, Jackson, NJ 08527-3403 2018-08-10
1558840439 Ymca of Greater Monmouth County Community/Behavioral Health 125 N Hope Chapel Rd, Jackson, NJ 08527-2962 2018-08-10
1417436544 Ymca of Greater Monmouth County Community/Behavioral Health 35 S Hope Chapel Rd, Jackson, NJ 08527-5019 2018-08-09
1568964112 Apluscare, LLC Community/Behavioral Health 613 Atterbury Ct E, Jackson, NJ 08527-3182 2018-02-28
1043722465 Apluscare, LLC Community/Behavioral Health 1012 Atterbury Ct E, Jackson, NJ 08527-3186 2017-10-25
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Competitor

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City JACKSON
Zip Code 39212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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