MJ Social Services Inc

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

C148733 Issued in ID

Legal business name

MJ SOCIAL SERVICES INC

Practice address

2328 Mountain View Dr
Box 130
Emmett, ID 83617-9533

Phone

(208) 365-3183

Fax

(208) 365-2307

NPI assigned

Jun 23, 2010

Organization subpart

No

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

Authorized official

Name

Leeann Jones

Title

Owner

Phone

(208) 365-3183

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Dean Smelcer, OWNER

  • Case Manager/Care Coordinator
  • Emmett, ID
  • NPI 1114398765
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1427369560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "2328 MOUNTAIN VIEW DR",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836170130",
            "telephone_number": "208-365-3183",
            "fax_number": "208-365-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 MOUNTAIN VIEW DR",
            "address_2": "BOX 130",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179533",
            "telephone_number": "208-365-3183",
            "fax_number": "208-365-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ SOCIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-365-3183"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": "C148733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002748400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mending Minds Mental Health and Wellness LLC
• Paula Rebecca Mendiola, D.O.
• Michele Miles, PA-C,MS
• Mandy Lynn Mitchell Hopwood, LCSW
• MJ Counseling and Case Management
• Madison Rain Molino, LCSW
• Kenneth J Murdock
• Mikeal Bruce Nave, DC
• New Life Transportation LLC
• Nancy Susanne Nickerson, PT

• Case Manager/Care Coordinator in Emmett, ID
• Providers in Emmett, ID by specialty
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.