Concerned Citizens for Our Youth, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

000373 Issued in AL

Legal business name

CONCERNED CITIZENS FOR OUR YOUTH, INC.

Doing business as

Beacon House

Practice address

1200 Beacon Lane
Jasper, AL 35504

Phone

(205) 384-4539

Fax

(205) 384-1496

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Phyllis A Cook

Title

Executive Director

Phone

(205) 384-4539

Specialties & licenses 1

Addresses

Other names 1

• Beacon House Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clydia Renee Fisher, B.S.B.S.,MSW

  • Social Worker
  • Jasper, AL
  • NPI 1255417234
  NPD (past)
• Deanna Leann Frost, LPC.

  • Professional Counselor
  • Jasper, AL
  • NPI 1386774321
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114937950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355020852",
            "telephone_number": "205-384-4539",
            "fax_number": "205-384-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BEACON LANE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35504",
            "telephone_number": "205-384-4539",
            "fax_number": "205-384-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERNED CITIZENS FOR OUR YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-384-4539",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "000373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane L Coffey, PT
• Taylor Countiss Coffey, PA-C
• Carolina B Coleman
• Jocelyn Coleman
• Community Options, Inc.
• Cook Wholesale Co Inc
• Maya Cook-Stroup, ALC
• Cooner Dental
• Logan Whitney Cooner, D.M.D.
• William Ray Cooner, D.M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Jasper, AL
• Providers in Jasper, AL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.