Organization Active NPI

New Horizons Community Support Services, Inc.

  • Adult Mental Health Clinic/Center
  • Jefferson City, MO
National Provider Identifier
1669547485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
2456-8434 Issued in MO
Legal business name
NEW HORIZONS COMMUNITY SUPPORT SERVICES, INC.
Practice address
2013 Williams St
Jefferson City, MO 65109-4771
Phone
(573) 636-8108
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. CHI L Cheung
Title
President
Phone
(573) 636-8108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 2456-8434 MO Primary

Addresses

Primary practice location

2013 Williams St
Jefferson City, MO 65109-4771

Mailing address

2013 Williams St
Jefferson City, MO 65109-4771
Phone (573) 636-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051122000108 MO Part B Supplier - Clinic/Group Practice 0042239873 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO; Jefferson City, MO; Jefferson Cty, MO

National Provider Directory

National Provider Directory
Tax ID family
New Horizons Community Support Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1408 Hathman Pl
Columbia, MO 65201
Phone (573) 443-0405

2006 Missouri Blvd
Jefferson City, MO 65109
Phone (573) 636-8108

2013 William St
Ste A
Jefferson Cty, MO 65109
Phone (573) 636-8108

2013 William St
Jefferson Cty, MO 65109
Phone (573) 636-8108

Practitioners & affiliated clinicians

Practitioners 8

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669547485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 WILLIAMS ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094771",
            "telephone_number": "573-636-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 WILLIAMS ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094771",
            "telephone_number": "573-636-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS COMMUNITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-636-8108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MO",
            "license": "2456-8434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.