NPIMap

Organization Active NPI

Shreveport Mental Health Center

  • Community/Behavioral Health Agency
  • Ruston, LA
National Provider Identifier
1124165196
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHREVEPORT MENTAL HEALTH CENTER
Practice address
509 S Barnett Springs St
Ruston, LA 71270-9011
Phone
(318) 242-0026
NPI assigned
Jan 31, 2007
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
Mr. Terry Lee Jordan, G.S.W.
Title
Social Worker III
Phone
(318) 676-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

509 S Barnett Springs St
Ruston, LA 71270-9011

Mailing address

509 S Barnett Springs St
Ruston, LA 71270-9011
Phone (318) 242-0026

National Provider Directory

National Provider Directory
Tax ID family
Central la State Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124165196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S BARNETT SPRINGS ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712709011",
            "telephone_number": "318-242-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S BARNETT SPRINGS ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712709011",
            "telephone_number": "318-242-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREVEPORT MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOCIAL WORKER III",
        "authorized_official_telephone_number": "318-676-5111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "G.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, 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.