Jubilee Behavioral Health Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1886 Issued in VA

Legal business name

JUBILEE BEHAVIORAL HEALTH SERVICES INC

Practice address

1512 Florida Ave
Lynchburg, VA 24501-4112

Phone

(434) 845-0433

Fax

(434) 845-4740

NPI assigned

Mar 18, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sterling Allen Wilder, M.ED

Title

Ceo

Phone

(434) 444-0558

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1114269115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 FLORIDA AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245014112",
            "telephone_number": "434-845-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 FLORIDA AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245014112",
            "telephone_number": "434-845-0433",
            "fax_number": "434-845-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-444-0558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1886",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan River Support Services
• Daquan Jordan
• Charles R Joseph
• Lynn Joshua, CPM, LM
• Johnie Preston Joyce II
• Michael E. Judd, M.D.
• Jean Jun, DNP
• Grace Seeun Jung
• Parichart Junpaparp, M.D.
• Kenneth Allan Juras, PT, DPT

• Community/Behavioral Health Agency in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.