Individual provider Active NPI

Eboni Lewis

  • Addiction (Substance Use Disorder) Counselor
  • Hammond, LA
National Provider Identifier
1114706868
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
620 N Morrison Blvd Ste 7
Hammond, LA 70401-2312
Phone
(985) 542-9949
Fax
(985) 542-9946
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 LA Primary

Addresses

Primary practice location

620 N Morrison Blvd Ste 7
Hammond, LA 70401-2312

Mailing address

620 N Morrison Blvd Ste 7
Hammond, LA 70401-2312
Phone (985) 542-9949

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Behavioral Healthcare Inc CurrentSince Sep 24, 2023 Accepting new patients
New Beginnings Behavioral Healthcare Inc CurrentSince Sep 24, 2023 Accepting new patients

Locations

620 N Morrison Blvd
Ste 7
Hammond, LA 70401
Phone (985) 442-9949

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1114706868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MORRISON BLVD STE 7",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012312",
            "telephone_number": "985-542-9949",
            "fax_number": "985-542-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MORRISON BLVD STE 7",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012312",
            "telephone_number": "985-542-9949",
            "fax_number": "985-542-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "EBONI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.