NPIMap

Organization Active NPI

Cenla Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Deville, LA
National Provider Identifier
1053975748
Registry record updated Apr 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CENLA MENTAL HEALTH LLC
Practice address
307 Buckeye Ridge Loop
Deville, LA 71328-8515
Phone
(318) 613-4762
NPI assigned
Apr 28, 2019
Last updated
Apr 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2019

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

Authorized official

Name
George King, NURSE PRACTITIONERNPI 1760822084
Title
NP
Phone
(318) 613-4762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

307 Buckeye Ridge Loop
Deville, LA 71328-8515

Mailing address

307 Buckeye Ridge Loop
Deville, LA 71328-8515
Phone (318) 613-4762

Other practice location 1

5920 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (318) 443-9339

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL keithkingfnp@yahoo.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556409600000",
    "number": "1053975748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BUCKEYE RIDGE LOOP",
            "city": "DEVILLE",
            "state": "LA",
            "postal_code": "713288515",
            "telephone_number": "318-613-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BUCKEYE RIDGE LOOP",
            "city": "DEVILLE",
            "state": "LA",
            "postal_code": "713288515",
            "telephone_number": "318-613-4762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 Coliseum Blvd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713033714",
            "country_code": "US",
            "telephone_number": "318-443-9339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENLA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-04-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "318-613-4762",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "keithkingfnp@yahoo.com",
            "affiliation": "N",
            "address_1": "307 Buckeye Ridge Loop",
            "city": "DeVille",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713288515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; 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.