Proactive Interventions, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PROACTIVE INTERVENTIONS, LLC

Practice address

8955 Broadway St Apt 10184
Houston, TX 77061-3052

Phone

(225) 284-8671

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Johnalynn Moran JacksonNPI 1679087308

Title

Owner/Ceo

Phone

(225) 284-8671

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnalynn Jackson

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1679087308
  NPD Authorized official

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1821592569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 BROADWAY ST APT 10184",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770613052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 BROADWAY ST APT 10184",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770613052",
            "telephone_number": "225-284-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOHNALYNN",
        "authorized_official_middle_name": "MORAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "225-284-8671",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679087308",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Kay Probst, PA-C

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.