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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
2964 TERRY ROAD B-1 |
City | JACKSON |
State | MS |
Zip Code | 39212 |
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 |
Find all providers in zip 39212 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
Find all providers in JACKSON |
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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.