INNOVATIVE BEHAVIORALS SERVICES, INC. (NPI# 1578578092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578578092 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE BEHAVIORALS SERVICES, INC. |
| Other Organization Name | IBS, INC. |
| Practice Address |
357 Towne Center Blvd Suite # 100 Ridgeland MS 39157-4837 |
| Practice Telephone | 6019520894 |
| Practice Fax Number | 6019520836 |
| Mailing Telephone | 6019520894 |
| Mailing Fax Number | 6019520836 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | DR. DOROTHY J MCGILL (COO) |
| Authorized Official Telephone | 6019520894 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH0186 | MS | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
34561 | MS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C6034 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS BLUE SHIELD | 587443922 | 01 |
| MS | 09015770 | 05 |
| Other Name | Type Code |
|---|---|
| IBS, Inc. | Other Name - Individual/Organization |
| Street Address |
357 TOWNE CENTER BLVD SUITE # 100 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275767337 | Tonja M Tarvin | Social Worker | 357 Towne Center Blvd, Suite 100, Ridgeland, MS 39157-4870 | 2009-05-05 |
| 1598938847 | Steven R Stafford | Counselor | 357 Towne Center Blvd, Suite 403, Ridgeland, MS 39157 | 2008-04-08 |
| 1932378734 | Martha Jordan Cain | Psychologist | 357 Towne Center Blvd, Ste 401, Ridgeland, MS 39157 | 2008-02-26 |
| 1801078415 | Neuro Behavioral Treatment Systems, LLC | Psychologist | 357 Towne Center Blvd, Suite 400, Ridgeland, MS 39157-4870 | 2007-12-05 |
| 1003016254 | Noel Lee Black | Counselor | 357 Towne Center Blvd, Suite 402, Ridgeland, MS 39157-4870 | 2007-07-24 |
| 1790816338 | Melissa S Coleman | Counselor | 357 Towne Center Blvd, Suite 100, Ridgeland, MS 39157-4837 | 2007-03-07 |
| 1538295761 | Mary Louise Barksdale | Counselor | 357 Towne Center Blvd, Suite 402, Ridgeland, MS 39157-4837 | 2007-02-23 |
| 1649335134 | Paula M St Pierre | Social Worker | 357 Towne Center Blvd, Ste 402, Ridgeland, MS 39157 | 2006-12-26 |
| 1619060969 | Janet Lushbaugh | Counselor | 357 Towne Center Blvd, Suite 402, Ridgeland, MS 39157-4837 | 2006-10-01 |
| 1578677720 | Dorothy J Mcgill | Counselor | 357 Towne Center Blvd, Suite 100, Ridgeland, MS 39157-4837 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939003 | Trisha L Grimm | Social Worker | 135 W Adams St, Ridgeland, SC 29936-9105 | 2019-12-18 |
| 1316581960 | Mary-michael Hanbury | Social Worker | 61 Riverwalk Blvd Ste H, Ridgeland, SC 29936-3252 | 2019-11-06 |
| 1154977460 | Latoya C Thomas | Social Worker | 715 Rice Rd Apt 27f, Ridgeland, MS 39157-3019 | 2019-08-13 |
| 1194283887 | Shaquita A Mallett | Social Worker | 119 Hawthorne Vale, Ridgeland, MS 39157-2345 | 2019-03-12 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1467950626 | Andriena Cherie Fleming | Social Worker | 711 Lake Harbour Dr Apt 1100, Ridgeland, MS 39157-4307 | 2018-01-23 |
| 1215458880 | Therapy Unlimited, LLC | Social Worker | 405 Fontaine Pl Ste 101, Ridgeland, MS 39157-5228 | 2017-07-04 |
| 1356891980 | Mary Lynn Parker | Social Worker | 120 Arbor Ridge Rd, Ridgeland, MS 39157-9703 | 2016-10-06 |
| 1760761431 | Niketa C Pechan | Social Worker | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2011-08-11 |
| 1114244639 | Cheerful Assistance & Care | Social Worker | 292 Commerce Park Dr Ste B, Ridgeland, MS 39157-2239 | 2010-04-23 |
| Find all providers in RIDGELAND | ||||
Please comment or provide details below to improve the information on INNOVATIVE BEHAVIORALS SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.