Organization Active NPI

Paradigm Senior Services, LLC

  • Mental Health Counselor
  • Jackson, MS
National Provider Identifier
1407806615
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PARADIGM SENIOR SERVICES, LLC
Practice address
248 E Capitol St
840 Trust Mark Building
Jackson, MS 39201-2503
Phone
(800) 632-6074
Fax
(866) 341-7509
NPI assigned
May 10, 2006
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mr. Kevin D Harwood
Title
President/Ceo
Phone
(800) 632-6074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

248 E Capitol St
840 Trust Mark Building
Jackson, MS 39201-2503

Mailing address

7431 114TH Ave
Suite 104
Largo, FL 33773-5119
Phone (800) 632-6074

Other identifiers 1

IdentifierTypeStateIssuer
05970082MedicaidMS

National Provider Directory

National Provider Directory

Locations

1935 N Theobald Street Ext
Greenville, MS 38703
Phone (662) 334-4501

402 Arnold Ave
Greenville, MS 38701
Phone (662) 332-0318

10 Medical Blvd
Hattiesburg, MS 39401
Phone (601) 264-0357

133 Pine St
Hazlehurst, MS 39083
Phone (601) 894-1411

248 E Capitol St
Ste 840
Jackson, MS 39201

927 Cooper Rd
Jackson, MS 39212
Phone (601) 372-0141

118 S Glenfield Rd
New Albany, MS 38652
Phone (662) 534-9506

309 Magnolia Dr
Raleigh, MS 39153
Phone (601) 543-8772

2273 S Eason Blvd
Tupelo, MS 38804
Phone (662) 499-2802

1304 Walnut St
Waynesboro, MS 39367
Phone (601) 410-5777

530 Hall St
Wiggins, MS 39577
Phone (601) 928-5281

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1407806615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 114TH AVE",
            "address_2": "SUITE 104",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735119",
            "telephone_number": "800-632-6074",
            "fax_number": "866-341-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E CAPITOL ST",
            "address_2": "840 TRUST MARK BUILDING",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392012503",
            "telephone_number": "800-632-6074",
            "fax_number": "866-341-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HARWOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "800-632-6074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05970082",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.