NPIMap

Organization Active NPI

Premier Therapeutics, LLC

  • Mental Health Counselor
  • Covington, LA
National Provider Identifier
1164912853
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PREMIER THERAPEUTICS, LLC
Practice address
827 W 22ND Ave
Covington, LA 70433-1433
Phone
(985) 377-6983
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Mr. Kevin J Brown, LMTNPI 1730625286
Title
Owner
Phone
(985) 377-6983

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X LA-4964 LA

Addresses

Primary practice location

827 W 22ND Ave
Covington, LA 70433-1433

Mailing address

222 N Vermont St Ste S
Covington, LA 70433-3240
Phone (985) 377-6983

Other names 1

  • Perfect Touch Massage, Professional Limited Liability Company Former legal business name

National Provider Directory

National Provider Directory

Locations

222 N Vermont St
Ste S
Covington, LA 70433

827 W 22nd Ave
Covington, LA 70433
Phone (985) 377-6983

222 N Vermont St
Ste J
Covington, LA 70433
Phone (985) 788-8350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1164912853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N VERMONT ST STE S",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333240",
            "telephone_number": "985-377-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W 22ND AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331433",
            "telephone_number": "985-377-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-377-6983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA-4964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Touch Massage, Professional Limited Liability Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.