NPIMap

Organization Active NPI

Center for Family & Individual Counseling, Inc.

  • Psychologist
  • Alexandria, LA
National Provider Identifier
1144419151
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
474 Issued in LA
Legal business name
CENTER FOR FAMILY & INDIVIDUAL COUNSELING, INC.
Practice address
5615K Jackson Street Ext
Alexandria, LA 71303-2326
Phone
(318) 443-7711
Fax
(318) 443-9808
NPI assigned
Oct 16, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Samuel H Bryan, PHDNPI 1881622082
Title
Owner
Phone
(318) 443-7711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 474 LA Primary

Addresses

Primary practice location

5615K Jackson Street Ext
Alexandria, LA 71303-2326

Mailing address

5615K Jackson Street Ext
Alexandria, LA 71303-2326
Phone (318) 443-7711

National Provider Directory

National Provider Directory

Locations

5615 Jackson Street Ext
#K
Alexandria, LA 71303
Phone (318) 443-7711

5615K Jackson Street Ext
Alexandria, LA 71303
Phone (318) 443-7711

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1144419151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615K JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032326",
            "telephone_number": "318-443-7711",
            "fax_number": "318-443-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615K JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032326",
            "telephone_number": "318-443-7711",
            "fax_number": "318-443-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY & INDIVIDUAL COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-443-7711",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "LA",
            "license": "474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.