Active NPI
Jackie Kilcrease Lambert, MHS, CRC, CIT
- Addiction (Substance Use Disorder) Counselor
- Slidell, LA
National Provider Identifier
1093083891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2958
- Practice address
- 2331 Carey St
Slidell, LA 70458-3627 - Phone
- (985) 646-6406
- Fax
- (985) 646-6460
- NPI assigned
- Dec 7, 2011
- Last updated
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2958 | LA | Primary |
Addresses
Primary practice location
2331 Carey St
Slidell, LA 70458-3627
Mailing address
2331 Carey St
Slidell, LA 70458-3627
Phone (985) 646-6406
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2958 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1093083891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 CAREY ST",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583627",
"telephone_number": "985-646-6406",
"fax_number": "985-646-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 CAREY ST",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583627",
"telephone_number": "985-646-6406",
"fax_number": "985-646-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "JACKIE",
"middle_name": "KILCREASE",
"name_prefix": "Mrs.",
"credential": "MHS, CRC, CIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "2958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
- Lakeland Healthcare Home & Community Based Waver
- Lakeshore Family Dentistry Inc
- Lakeshore Manor Nursing and Rehab LLC (Trinity Neurologic Rehabilitation Center)
- James Lam, MD
- Hal Dwayne Lamb, CRNA, MS
- Lee Alan Lambert, M.D.
- Marcelle Elizabeth Lambert, APRN-CNP
- Stephen Lambert
- Heather Joy Landry
- William B Landry III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.