Organization Active NPI

Integrative Therapeutic Services

  • Clinical Social Worker
  • Jackson, MS
National Provider Identifier
1669899431
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTEGRATIVE THERAPEUTIC SERVICES
Practice address
2460 Terry Rd Ste 800
Jackson, MS 39204-5769
Phone
(601) 201-6165
Fax
(601) 923-0061
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Monica L Turner, LCSW
Title
Licensed Certified Social Worker
Phone
(601) 201-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2460 Terry Rd Ste 800
Jackson, MS 39204-5769

Mailing address

2460 Terry Rd Ste 800
Jackson, MS 39204-5769
Phone (601) 201-6165

Other identifiers 1

IdentifierTypeStateIssuer
07570361MedicaidMS

National Provider Directory

National Provider Directory

Locations

2460 Terry Rd
Ste 800
Jackson, MS 39204
Phone (601) 201-6165

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1669899431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD STE 800",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045769",
            "telephone_number": "601-201-6165",
            "fax_number": "601-923-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD STE 800",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045769",
            "telephone_number": "601-201-6165",
            "fax_number": "601-923-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CERTIFIED SOCIAL WORKER",
        "authorized_official_telephone_number": "601-201-6165",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07570361",
            "state": "MS"
        }
    ],
    "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 Jul 28, 2015; 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.