NPIMap

Organization Active NPI

Healthcare Advantage LLC

  • Mental Health Counselor
  • Madison, MS
National Provider Identifier
1861727034
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALTHCARE ADVANTAGE LLC
Practice address
254 Ingleside Dr
Madison, MS 39110-9524
Phone
(601) 695-1919
Fax
(601) 420-5299
NPI assigned
Oct 6, 2009
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Harold Ingram, MANAGER
Title
Manager
Phone
(601) 420-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

254 Ingleside Dr
Madison, MS 39110-9524

Mailing address

PO Box 1995
Madison, MS 39130-1995
Phone (601) 695-1919

Other identifiers 1

IdentifierTypeStateIssuer
000000000000OtherTO BE ASSIGNED

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1861727034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1995",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391301995",
            "telephone_number": "601-695-1919",
            "fax_number": "601-420-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 INGLESIDE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109524",
            "telephone_number": "601-695-1919",
            "fax_number": "601-420-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-420-0141",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TO BE ASSIGNED",
            "identifier": "000000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.