Active NPI
Progressive Behavioral Clinic,LLC
- Mental Health Counselor
- Morgan City, LA
National Provider Identifier
1104998657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PROGRESSIVE BEHAVIORAL CLINIC,LLC
- Practice address
- 1202 Victor II Blvd
Morgan City, LA 70380-1333 - Phone
- (985) 385-1147
- Fax
- (985) 385-3934
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ella D. Kirt
- Title
- Owner
- Phone
- (985) 385-1147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1202 Victor II Blvd
Morgan City, LA 70380-1333
Mailing address
1202 Victor II Blvd
Morgan City, LA 70380-1333
Phone (985) 385-1147
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Morgan City, LA
- NPI 1336199504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104998657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 VICTOR II BLVD",
"city": "MORGAN CITY",
"state": "LA",
"postal_code": "703801333",
"telephone_number": "985-385-1147",
"fax_number": "985-385-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 VICTOR II BLVD",
"city": "MORGAN CITY",
"state": "LA",
"postal_code": "703801333",
"telephone_number": "985-385-1147",
"fax_number": "985-385-3934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE BEHAVIORAL CLINIC,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIRT",
"authorized_official_first_name": "ELLA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-385-1147"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgan City, 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.