NPIMap

Organization Active NPI

Albany Behavioral Health Services L.L.C

  • Clinical Social Worker
  • Albany, MO
National Provider Identifier
1194024638
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2003029038 Issued in MO
Legal business name
ALBANY BEHAVIORAL HEALTH SERVICES L.L.C
Practice address
113 N Smith St
Albany, MO 64402-1250
Phone
(660) 853-1322
NPI assigned
Mar 23, 2011
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Jane M Wilmes, LCSW
Title
Owner
Phone
(660) 853-1322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2010033597 MO
Clinical Social Worker 1041C0700X 2003029038 MO Primary

Addresses

Primary practice location

113 N Smith St
Albany, MO 64402-1250

Mailing address

113 N Smith St
Albany, MO 64402-1250
Phone (660) 853-1322

Other identifiers 2

IdentifierTypeStateIssuer
1588973929OtherMONPI MARY-JENNIFER QUINLEY
1710910955OtherMONPI FOR JANE M. WILMES

National Provider Directory

National Provider Directory
Tax ID family
Albany Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1194024638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N SMITH ST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644021250",
            "telephone_number": "660-853-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N SMITH ST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644021250",
            "telephone_number": "660-853-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY BEHAVIORAL HEALTH SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "WILMES",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-853-1322",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010033597",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003029038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MARY-JENNIFER QUINLEY",
            "identifier": "1588973929",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR JANE M. WILMES",
            "identifier": "1710910955",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, MO

Sources for this page

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