Organization Active NPI

Chris M Huff LCSW PLLC

  • Clinical Social Worker
  • McComb, MS
National Provider Identifier
1184057556
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C5077 Issued in MS
Legal business name
CHRIS M HUFF LCSW PLLC
Practice address
420 Delaware Ave
McComb, MS 39648-4021
Phone
(601) 209-6345
Fax
(601) 835-3342
NPI assigned
Aug 20, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Becky S Green
Title
Billing Manager
Phone
(601) 835-3114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C5077 MS Primary

Addresses

Primary practice location

420 Delaware Ave
McComb, MS 39648-4021

Mailing address

PO Box 3128
Brookhaven, MS 39603-7128
Phone (601) 835-3114

Other identifiers 1

IdentifierTypeStateIssuer
05086859MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131101001016 MS Part B Supplier - Clinic/Group Practice 7618102476 Practice locations: Brookhaven, MS; Jackson, MS; McComb, MS

National Provider Directory

National Provider Directory

Locations

115 N Cleveland Ave
#M
Brookhaven, MS 39601
Phone (601) 835-3306

420 Delaware Ave
McComb, MS 39648
Phone (601) 209-6345

420 Delaware Ave
#M
McComb, MS 39648
Phone (601) 684-4009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1184057556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3128",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396037128",
            "telephone_number": "601-835-3114",
            "fax_number": "601-835-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484021",
            "telephone_number": "601-209-6345",
            "fax_number": "601-835-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS M HUFF LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "601-835-3114"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05086859",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.