Active NPI
Paradigm Senior Services, LLC
- Mental Health Counselor
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05970082 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.