Individual provider Active NPI

Edward L Naquin, L.A.C.

  • Addiction (Substance Use Disorder) Counselor
  • Morgan City, LA
National Provider Identifier
1063548659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
638 Issued in LA
Practice address
500 Roderick St
Morgan City, LA 70380-2247
Phone
(985) 380-2460
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 638 LA Primary

Addresses

Primary practice location

500 Roderick St
Morgan City, LA 70380-2247

Mailing address

PO Box 100
Schriever, LA 70395-0100
Phone (985) 380-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304000623 LA Practitioner - Mental Health Counselor 4385093244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority Current Accepting new patients
South Central la Human Services Authority CurrentSince Jan 24, 2024 Accepting new patients
St. Mary Mental Health Past Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 876-8822

5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615

1809 W Airline Hwy
La Place, LA 70068
Phone (985) 652-8444

500 Roderick St
Ste B
Morgan City, LA 70380
Phone (985) 380-2460

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

Organizations & group practices 3

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063548659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "SCHRIEVER",
            "state": "LA",
            "postal_code": "703950100",
            "telephone_number": "985-380-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RODERICK ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703802247",
            "telephone_number": "985-380-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAQUIN",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "L.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.