Active NPI
Supporting Health Services Solution
- Community/Behavioral Health Agency
- Marshall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SUPPORTING HEALTH SERVICES SOLUTION
- Practice address
- 1900 S Washington Ave
Marshall, TX 75670-6843 - Phone
- (346) 290-5508
- NPI assigned
- Apr 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Maxie Jr., MA, QMHP-CS,
- Title
- Owner
- Phone
- (318) 573-3942
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | TX | ||
| Case Management Agency | 251B00000X | TX | ||
| Community/Behavioral Health Agency | 251S00000X | TX | Primary |
Addresses
Primary practice location
1900 S Washington Ave
Marshall, TX 75670-6843
Mailing address
1840 Logan St
Shreveport, LA 71101-2316
Phone (318) 573-3942
National Provider Directory
National Provider DirectoryLocations
1900 S Washington Ave
Marshall, TX 75670
Phone (346) 290-5508
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Shreveport, LA
- NPI 1952898280
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1104314384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 LOGAN ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711012316",
"telephone_number": "318-573-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S WASHINGTON AVE",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756706843",
"telephone_number": "346-290-5508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTING HEALTH SERVICES SOLUTION",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-24",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "MAXIE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-573-3942",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MA, QMHP-CS,"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.