Individual provider Active NPI

Delma Christine Jay, BSPA-CAC II

  • Addiction (Substance Use Disorder) Counselor
  • Saint Marys, GA
National Provider Identifier
1134398159
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1882-R Issued in GA
Practice address
104 Lakeshore Dr
Saint Marys, GA 31558-3803
Phone
(912) 729-1120
Fax
(912) 729-1150
NPI assigned
Feb 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1882-R GA Primary

Addresses

Primary practice location

104 Lakeshore Dr
Saint Marys, GA 31558-3803

Mailing address

403 Thoroughbred Rd
Saint Marys, GA 31558-3931
Phone (912) 576-7136

Other identifiers 1

IdentifierTypeStateIssuer
1882-ROtherGASTATE BOARD CERTIFICATION

Other names 1

  • Mrs. Chris Jay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1882-RGAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203724800000",
    "number": "1134398159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 THOROUGHBRED RD",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583931",
            "telephone_number": "912-576-7136",
            "fax_number": "912-576-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LAKESHORE DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583803",
            "telephone_number": "912-729-1120",
            "fax_number": "912-729-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "DELMA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "BSPA-CAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1882-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD CERTIFICATION",
            "identifier": "1882-R",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "JAY",
            "prefix": "MRS.",
            "credential": "BSPA-CAC-AD II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; 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.