NPIMap

Organization Active NPI

Interactional Psychotherapy Inc

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1033474663
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1558 Issued in LA
Legal business name
INTERACTIONAL PSYCHOTHERAPY INC
Practice address
300 Washington St
Suite 209
Monroe, LA 71201-6714
Phone
(318) 388-8805
Fax
(318) 388-8813
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
David L Govener, M.DIV.,PH.D.
Title
President
Phone
(318) 388-8805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1558 LA Primary

Addresses

Primary practice location

300 Washington St
Suite 209
Monroe, LA 71201-6714

Mailing address

300 Washington St
Suite 209
Monroe, LA 71201-6714
Phone (318) 388-8805

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1033474663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST",
            "address_2": "SUITE 209",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016714",
            "telephone_number": "318-388-8805",
            "fax_number": "318-388-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST",
            "address_2": "SUITE 209",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016714",
            "telephone_number": "318-388-8805",
            "fax_number": "318-388-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIONAL PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "GOVENER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-388-8805",
        "authorized_official_credential": "M.DIV.,PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.