BUTTERFLY AFFECT
NPI 1831795095
Clinic/Center - Adolescent and Children Mental Health in Jackson, MS

Q: What is Butterfly Affect's NPI number?

The NPI number for Butterfly Affect is 1831795095. It was assigned to this organization in the NPPES registry on December 11, 2020.

Q: What is Butterfly Affect's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Q: When was this NPI record last updated?

The NPPES record for Butterfly Affect was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2020

4915 I 55 N FRONTAGE RD STE C 305, JACKSON, MS 39205(769) 226-6232 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Butterfly Affect NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUTTERFLY AFFECT (NPI 1831795095) is a healthcare organization registered as an adolescent and children mental health in Jackson, Mississippi and active in the NPI registry since December 2020. The organization lists Jennifer Green, Member, as its authorized official.

NPPES Registry Identity

NPI1831795095

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameBUTTERFLY AFFECT

Location Address4915 I 55 N FRONTAGE RD STE C 305Jackson, MS 39205

Mailing AddressPo Box 59053Jackson, MS 39284-9053 · (769) 226-6232

Phone(769) 226-6232

Organization SubpartNo

Authorized OfficialJennifer GreenMember · (769) 226-6232

Enumeration DateDecember 11, 2020

NPPES CertifiedDecember 10, 2020

✔ NPI 1831795095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

4915 I 55 N FRONTAGE RD STE C 305, Jackson, MS 39205

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Other Identifiers 1

Medicaid00754701MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Butterfly Affect's NPI number?

The NPI number for Butterfly Affect is 1831795095. It was assigned to this organization in the NPPES registry on December 11, 2020.

Where is Butterfly Affect located?

Butterfly Affect is located at 4915 I 55 N Frontage Rd Ste C 305, Jackson, MS 39205. The listed phone number is (769) 226-6232.

What is Butterfly Affect's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Butterfly Affect was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.