NPIMap

Organization Active NPI

Triple H Ranch LLC

  • Clinical Social Worker
  • Vancleave, MS
National Provider Identifier
1619684461
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRIPLE H RANCH LLC
Practice address
7205 Humphrey Rd
Vancleave, MS 39565-7806
Phone
(228) 283-5005
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Mrs. Dawn Vanbuskirk, LCSWNPI 1487303772
Title
Owner/Therapist
Phone
(228) 283-5005

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7205 Humphrey Rd
Vancleave, MS 39565-7806

Mailing address

7205 Humphrey Rd
Vancleave, MS 39565-7806
Phone (228) 283-5005

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Theranest Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1619684461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 HUMPHREY RD",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395657806",
            "telephone_number": "228-283-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 HUMPHREY RD",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395657806",
            "telephone_number": "228-283-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE H RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "VANBUSKIRK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "228-283-5005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "Theranest secure account",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7205 Humphrey Rd",
            "city": "Vancleave",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395657806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancleave, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.