Organization Active NPI

Southern Christian Services for Children and Youth, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MS
National Provider Identifier
1477069037
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTHERN CHRISTIAN SERVICES FOR CHILDREN AND YOUTH, INC.
Practice address
860 E River PL Ste 104
Jackson, MS 39202-3442
Phone
(601) 354-0983
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Mrs. Jamie Celene Himes, LPCNPI 1093943888
Title
Executive Director
Phone
(601) 354-0983

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MS Primary

Addresses

Primary practice location

860 E River PL Ste 104
Jackson, MS 39202-3442

Mailing address

860 E River PL Ste 104
Jackson, MS 39202-3442
Phone (601) 354-0983

Other practice location 1

2865 Highway 332
Grenada, MS 38901-8821
Phone (662) 226-9905

Other practice location 2

109 Crane St
Fulton, MS 38843-1799
Phone (662) 862-5315

Other practice location 3

2610 Traceland Dr Ste B
Tupelo, MS 38801-4226
Phone (601) 594-3620 ext. 60159

Other practice location 4

11975 Seaway Rd Ste 300B
Gulfport, MS 39503-6089
Phone (228) 896-1128

National Provider Directory

National Provider Directory

Locations

109 Crane St
Fulton, MS 38843
Phone (662) 862-5315

11975 Seaway Rd
Ste 300B
Gulfport, MS 39503
Phone (228) 596-6926

860 E River Pl
Ste 104
Jackson, MS 39202
Phone (601) 354-0983

2610 Traceland Dr
Ste B
Tupelo, MS 38801
Phone 6015943620 ext. 60159

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1477069037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E RIVER PL STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023442",
            "telephone_number": "601-354-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E RIVER PL STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023442",
            "telephone_number": "601-354-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 Highway 332",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389018821",
            "country_code": "US",
            "telephone_number": "662-226-9905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Crane St",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MS",
            "postal_code": "388431799",
            "country_code": "US",
            "telephone_number": "662-862-5315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 Traceland Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014226",
            "country_code": "US",
            "telephone_number": "601-594-3620 x60159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11975 Seaway Rd Ste 300B",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395036089",
            "country_code": "US",
            "telephone_number": "228-896-1128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN CHRISTIAN SERVICES FOR CHILDREN AND YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "HIMES",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "CELENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-354-0983",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 3, 2020; 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.