NPIMap

Organization Active NPI

Miracle Outlook Family Services

  • Community/Behavioral Health Agency
  • Monroe, LA
National Provider Identifier
1205132255
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIRACLE OUTLOOK FAMILY SERVICES
Practice address
101 Lakeshore Dr
Suite 12
Monroe, LA 71203-4954
Phone
(318) 343-0400
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Regina Jackson
Title
Owner
Phone
(318) 343-0400

Specialties & licenses 1

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

Addresses

Primary practice location

101 Lakeshore Dr
Suite 12
Monroe, LA 71203-4954

Mailing address

101 Lakeshore Dr
Suite 12
Monroe, LA 71203-4954

National Provider Directory

National Provider Directory
Tax ID family
Miracle Outlook Family Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1205132255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKESHORE DR",
            "address_2": "SUITE 12",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKESHORE DR",
            "address_2": "SUITE 12",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034954",
            "telephone_number": "318-343-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE OUTLOOK FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-343-0400"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.