Active NPI
Counseling and Mentoring Program 2.0
- Social Worker
- Jackson, MS
National Provider Identifier
1528302452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- COUNSELING AND MENTORING PROGRAM 2.0
- Doing business as
- C.A.M.P. 2.0
- Practice address
- 2460 Terry Rd Ste 1900
Jackson, MS 39204-5767 - Phone
- (601) 372-3085
- Fax
- (601) 372-3086
- NPI assigned
- Nov 15, 2012
- 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
- Ms. Jazmin Shante Lynch
- Title
- Administrator
- Phone
- (601) 371-3085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2460 Terry Rd Ste 1900
Jackson, MS 39204-5767
Mailing address
2460 Terry Road Suite 1900
Jackson, MS 39204
Phone (601) 372-3085
Other names 1
- C.A.M.P. 2.0
National Provider Directory
National Provider DirectoryLocations
2460 Terry Rd
Ste 1900
Jackson, MS 39204
Phone (601) 372-3085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1528302452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 TERRY ROAD SUITE 1900",
"city": "JACKSON",
"state": "MS",
"postal_code": "39204",
"telephone_number": "601-372-3085",
"fax_number": "601-372-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 TERRY RD STE 1900",
"city": "JACKSON",
"state": "MS",
"postal_code": "392045767",
"telephone_number": "601-372-3085",
"fax_number": "601-372-3086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING AND MENTORING PROGRAM 2.0",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "JAZMIN",
"authorized_official_middle_name": "SHANTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "601-371-3085",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "C.A.M.P. 2.0",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.