Organization Active NPI

Educational Advocacy Supports & Enterprises, LLC

  • School Psychologist
  • Winnsboro, LA
National Provider Identifier
1154993095
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
EDUCATIONAL ADVOCACY SUPPORTS & ENTERPRISES, LLC
Practice address
2106 Loop Rd
Winnsboro, LA 71295-3344
Phone
(318) 435-9411
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Mrs. Connie L Cassels, NCSP, LSSPNPI 1548935034
Title
Licensed SP. in School Psychology
Phone
(318) 363-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU
School Psychologist 103TS0200X NU Primary

Addresses

Primary practice location

2106 Loop Rd
Winnsboro, LA 71295-3344

Mailing address

P O Box 395
Calhoun, LA 71225
Phone (318) 363-0211

Other practice location 1

1818 Avenue Of America
Monroe, LA 71201-4530
Phone (318) 998-2700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1154993095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 395",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "71225",
            "telephone_number": "318-363-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953344",
            "telephone_number": "318-435-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Avenue Of America",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712014530",
            "country_code": "US",
            "telephone_number": "318-998-2700",
            "fax_number": "318-998-2703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDUCATIONAL ADVOCACY SUPPORTS & ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "CASSELS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED SP. IN SCHOOL PSYCHOLOGY",
        "authorized_official_telephone_number": "318-363-0211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCSP, LSSP"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.