Active NPI
Heather K Sam
- Case Manager/Care Coordinator
- Lafayette, LA
National Provider Identifier
1013454875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2448 Johnston St
Lafayette, LA 70503-2756 - Phone
- (337) 233-7250
- Fax
- (337) 233-7104
- NPI assigned
- Jan 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
2448 Johnston St
Lafayette, LA 70503-2756
Mailing address
2448 Johnston St
Lafayette, LA 70503-2756
Phone (337) 233-7250
Other practice location 1
1615 Johnson St Ste C
Jennings, LA 70546-3650
Phone (337) 616-0225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600720410 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Management Services, Inc. of Southwest Louisiana | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Charles, LA
- NPI 1841300225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1013454875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 JOHNSTON ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032756",
"telephone_number": "337-233-7250",
"fax_number": "337-233-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 JOHNSTON ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032756",
"telephone_number": "337-233-7250",
"fax_number": "337-233-7104"
}
],
"practiceLocations": [
{
"address_1": "1615 Johnson St Ste C",
"address_purpose": "LOCATION",
"city": "Jennings",
"state": "LA",
"postal_code": "705463650",
"country_code": "US",
"telephone_number": "337-616-0225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAM",
"first_name": "HEATHER",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600720410",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.