Kathryn Pflipsen, LAC, CCS

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1811543838 Issued in LA

Practice address

2116 N Bolton Ave
Alexandria, LA 71303-4405

Phone

(318) 445-1250

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kathy R Pflipsen Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1013688084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 TWIN BRIDGES RD APT 47",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032071",
            "telephone_number": "318-452-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034405",
            "telephone_number": "318-445-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLIPSEN",
        "first_name": "KATHRYN",
        "credential": "LAC, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "1811543838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18811543838",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Alexandria",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2116 N Bolton Ave",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713034405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "PFLIPSEN",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "LAC, CCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Connie Marie Peterson, RPH
• Hunter Peterson, OD
• Katie Van Hoof Peterson, SA-C
• Christina Marie Pevey, MD
• Elizabeth Rose Pfeifer
• Haley K Pham
• Pharmed Holdings LLC
• Philip C. Lindsay, M.D., LTD,Apmc
• Megann Phillippi, BCBA
• Anna Phillips

• Substance Use Disorder Rehabilitation Clinic/Center in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.