NPIMap

Organization Active NPI

JLS Services, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1134497456
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JLS SERVICES, LLC
Practice address
300 Gilman LN
Unit 102
Raleigh, NC 27610-2584
Phone
(919) 625-1945
Fax
(866) 523-1694
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Latonya D Johnson
Title
Ceo
Phone
(919) 625-1945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

300 Gilman LN
Unit 102
Raleigh, NC 27610-2584

Mailing address

300 Gilman LN
Unit 102
Raleigh, NC 27610-2584
Phone (919) 625-1945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1134497456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GILMAN LN",
            "address_2": "UNIT 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102584",
            "telephone_number": "919-625-1945",
            "fax_number": "866-523-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GILMAN LN",
            "address_2": "UNIT 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102584",
            "telephone_number": "919-625-1945",
            "fax_number": "866-523-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-625-1945"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.