NPIMap

Organization Active NPI

Advanced Psychiatric Services, LLC

  • Mental Health Counselor
  • Lake Charles, LA
National Provider Identifier
1093709461
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ADVANCED PSYCHIATRIC SERVICES, LLC
Practice address
840 W Bayou Pines Dr Ste B
Lake Charles, LA 70601-7077
Phone
(337) 310-0153
Fax
(337) 310-0202
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Paul P Matthews, D.O.
Title
Owner/President
Phone
(337) 310-0153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

840 W Bayou Pines Dr Ste B
Lake Charles, LA 70601-7077

Mailing address

840 W Bayou Pines Dr Ste B
Lake Charles, LA 70601-7077
Phone (337) 310-0153

Other names 1

  • Talk It Out Other name

National Provider Directory

National Provider Directory

Locations

840 W Bayou Pines Dr
Ste B
Lake Charles, LA 70601
Phone (337) 310-0153

Practitioners & affiliated clinicians

Practitioners 5

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": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1093709461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W BAYOU PINES DR STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017077",
            "telephone_number": "337-310-0153",
            "fax_number": "337-310-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W BAYOU PINES DR STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017077",
            "telephone_number": "337-310-0153",
            "fax_number": "337-310-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "337-310-0153",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Talk It Out",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.