NPIMap

Organization Active NPI

Active Intervention, Inc.

  • Professional Counselor
  • Terrytown, LA
National Provider Identifier
1104881564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2002 Issued in LA
Legal business name
ACTIVE INTERVENTION, INC.
Practice address
1799 Stumpf Blvd
BLDG. 7 Ste. 10
Terrytown, LA 70056-3950
Phone
(504) 367-5766
Fax
(504) 367-5755
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marilyn McClelland Thorpe, PH.D.
Title
Counselor
Phone
(504) 367-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2002 LA Primary

Addresses

Primary practice location

1799 Stumpf Blvd
BLDG. 7 Ste. 10
Terrytown, LA 70056-3950

Mailing address

1799 Stumpf Blvd
BLDG. 7 Ste. 10
Terrytown, LA 70056-3950
Phone (504) 367-5766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104881564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BLDG. 7 STE. 10",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-367-5766",
            "fax_number": "504-367-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BLDG. 7 STE. 10",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-367-5766",
            "fax_number": "504-367-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE INTERVENTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "MCCLELLAND",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "504-367-5766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.