NPIMap

Organization Active NPI

Northshore Zen

  • Professional Counselor
  • Mandeville, LA
National Provider Identifier
1053868075
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NORTHSHORE ZEN
Practice address
2000 N Causeway Blvd Ste B
Mandeville, LA 70471-3173
Phone
(985) 882-1322
Fax
(985) 809-6909
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Pete Cooper, LPCNPI 1013346477
Title
Owner/ LPC
Phone
(985) 882-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LA Primary

Addresses

Primary practice location

2000 N Causeway Blvd Ste B
Mandeville, LA 70471-3173

Mailing address

2000 N Causeway Blvd Ste B
Mandeville, LA 70471-3173
Phone (985) 882-1322

National Provider Directory

National Provider Directory

Locations

2000 N Causeway Blvd
Ste B
Mandeville, LA 70471
Phone (985) 882-1233

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1053868075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N CAUSEWAY BLVD STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713173",
            "telephone_number": "985-882-1322",
            "fax_number": "985-809-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N CAUSEWAY BLVD STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713173",
            "telephone_number": "985-882-1322",
            "fax_number": "985-809-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE ZEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "OWNER/ LPC",
        "authorized_official_telephone_number": "985-882-1233",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.