Organization Active NPI

Jennifer McCash Inc.

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1215244298
Registry record updated Sep 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
I-05551 Issued in NM
Legal business name
JENNIFER MCCASH INC.
Practice address
301 Graceland Dr SE
Suite D
Albuquerque, NM 87108-2778
Phone
(505) 203-8953
Fax
(505) 344-8677
NPI assigned
Sep 11, 2010
Last updated
Sep 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2010

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

Authorized official

Name
Ms. Jennifer C. McCash, LISWNPI 1366532491
Title
President
Phone
(505) 203-8953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X I-05551 NM Primary

Addresses

Primary practice location

301 Graceland Dr SE
Suite D
Albuquerque, NM 87108-2778

Mailing address

301 Graceland Dr SE
Suite D
Albuquerque, NM 87108-2778
Phone (505) 203-8953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160309001537 NM Part B Supplier - Clinic/Group Practice 9537465026 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

301 Graceland Dr SE
Ste D
Albuquerque, NM 87108
Phone (505) 203-8953

8405 4th St NW
Los Ranchos, NM 87114
Phone (505) 203-8953

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": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1215244298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GRACELAND DR SE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082778",
            "telephone_number": "505-203-8953",
            "fax_number": "505-344-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GRACELAND DR SE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082778",
            "telephone_number": "505-203-8953",
            "fax_number": "505-344-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MCCASH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCASH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-203-8953",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-05551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.