Active NPI
Jireh Therapeutics LLC
- Clinical Social Worker
- Jacksn, MS
National Provider Identifier
1134820095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JIREH THERAPEUTICS LLC
- Practice address
- 5471 River Thames Place
Jacksn, MS 39211 - Phone
- (601) 566-5007
- NPI assigned
- Mar 16, 2023
- Last updated
- Mar 16, 2023
- Organization subpart
- Yes
- Parent organization
- JIREH THERAPEUTICS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Korlynn Trice, MHA
- Title
- Director of Billing
- Phone
- (601) 624-5912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5471 River Thames Place
Jacksn, MS 39211
Mailing address
5471 River Thames Place
Jacksn, MS 39211
Phone (601) 566-5007
National Provider Directory
National Provider Directory- Part of
- Jireh Therapeutics LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678924800000",
"number": "1134820095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5471 RIVER THAMES PLACE",
"city": "JACKSN",
"state": "MS",
"postal_code": "39211",
"telephone_number": "601-566-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5471 RIVER THAMES PLACE",
"city": "JACKSN",
"state": "MS",
"postal_code": "39211",
"telephone_number": "601-566-5007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIREH THERAPEUTICS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JIREH THERAPEUTICS LLC",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A",
"authorized_official_last_name": "TRICE",
"authorized_official_first_name": "KORLYNN",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "601-624-5912",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.