MJ Counseling and Case Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

C148733 Issued in ID

Legal business name

MJ COUNSELING AND CASE MANAGEMENT

Practice address

2328 Mountain View Dr
Box 130
Emmett, ID 83617-9533

Phone

(208) 365-3183

Fax

(208) 365-2307

NPI assigned

Jan 8, 2007

Last updated

Jun 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lee Ann Jones, LCSW

Title

Owneradministrator

Phone

(208) 365-3183

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MJ Social Services Inc Other name

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1790833424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 MOUNTAIN VIEW DR",
            "address_2": "BOX 130",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179533",
            "telephone_number": "208-365-3183",
            "fax_number": "208-365-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 MOUNTAIN VIEW DR",
            "address_2": "BOX 130",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179533",
            "telephone_number": "208-365-3183",
            "fax_number": "208-365-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ COUNSELING AND CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "OWNERADMINISTRATOR",
        "authorized_official_telephone_number": "208-365-3183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": "C148733",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "C148733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002748300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJ Social Services Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kandi Sue McLean, CPSS
• Mending Minds Mental Health and Wellness
• Paula Rebecca Mendiola, D.O.
• Michele Miles, PA-C,MS
• Mandy Lynn Mitchell Hopwood, LCSW
• MJ Social Services Inc
• Madison Rain Molino, LCSW
• Kenneth J Murdock
• Mikeal Bruce Nave, DC
• New Life Transportation LLC

• Case Management Agency in Emmett, ID
• Providers in Emmett, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.