Best Outcomes Therapeutic Services, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BEST OUTCOMES THERAPEUTIC SERVICES, LLC

Practice address

787 E Northside Dr
Jackson, MS 39206-4945

Phone

(504) 813-4968

NPI assigned

Jun 27, 2019

Organization subpart

No

Name

Dr. Kenisha Gordon, LPC

Title

Co-Owner

Phone

(504) 813-4968

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

• Jerome Gordon Jr., OTR-L

  • Occupational Therapist
  • Jackson, MS
  • NPI 1073668596
  NPD (past)
• Latoya Lanette Trunell, OTA

  • Occupational Therapy Assistant
  • Jackson, MS
  • NPI 1023661824
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2019.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1972164176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390600587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 E NORTHSIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064945",
            "telephone_number": "504-813-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST OUTCOMES THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "KENISHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "504-813-4968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Mae Berry, CMHT
• Leslie Berryhill, MS,RD,LD
• Anne P Berthold, F.N.P.
• Tanika Lashun Bess, NP
• Best Care Nursing LLC
• Janaya Bester
• Bethany Christian Services
• Douglas Bethea, DO
• John W Bethea Jr., MD
• Kristina Jo Bethel, D.O.

• All providers in Jackson, MS
• Multi-Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.