Active NPI
Integrative Therapeutic Services
- Clinical Social Worker
- Jackson, MS
National Provider Identifier
1669899431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07570361 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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
- Inmotion Rehab, LLC
- Innovative Counseling of Mississippi, PLLC
- Innovative Hands of Therapy Services LLC
- Innovative Health LLC
- Integrative Therapeutic Counseling and Consultants
- Integrity Home Care Inc
- Internal Medicine Clinic of Canton, Inc
- Internal Medicine Group, P.a.
- Intervene One Diagnostics LLC
- Caroline Irby
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.