Individual provider Active NPI

Phillip Ledent, COUNSELOR

  • Case Manager/Care Coordinator
  • Monroe, LA
National Provider Identifier
1053747162
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
1360 Issued in LA
Practice address
645 Highway 80 E
Monroe, LA 71203
Phone
(318) 343-6966
NPI assigned
Sep 20, 2013
Last updated
May 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1360 LA
Mental Health Counselor 101YM0800X NU
Case Manager/Care Coordinator 171M00000X 1360 LA Primary

Addresses

Primary practice location

645 Highway 80 E
Monroe, LA 71203

Mailing address

645 Highway 80 E
Monroe, LA 71203-8527
Phone (318) 343-6966

Other practice location 1

2414 Ferrand St Ste 2
Monroe, LA 71201-3249
Phone (318) 342-9979

Other practice location 2

3200 Concordia Ave
Monroe, LA 71201-5113
Phone (318) 362-5188 ext. 5342

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

State licenses

LicenseStateTypeSpecialty
1360LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Rehabilitation Center, LLC PastSince May 16, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1053747162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 HIGHWAY 80 E",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038527",
            "telephone_number": "318-343-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 HIGHWAY 80 E",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71203",
            "telephone_number": "318-343-6966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Ferrand St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712013249",
            "country_code": "US",
            "telephone_number": "318-342-9979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Concordia Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015113",
            "country_code": "US",
            "telephone_number": "318-362-5188 x5342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDENT",
        "first_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1360",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "1360",
            "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 May 18, 2018; 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.