Organization Active NPI

Counseling and Mentoring Program 2.0

  • Social Worker
  • Jackson, MS
National Provider Identifier
1528302452
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Nov 15, 2012

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.