Organization Active NPI

Supporting Health Services Solution

  • Community/Behavioral Health Agency
  • Marshall, TX
National Provider Identifier
1104314384
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 31, 2022

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,NPI 1952898280
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.