NPIMap

Organization Active NPI

Department of Health and Hospitals

  • Addiction (Substance Use Disorder) Counselor
  • Bastrop, LA
National Provider Identifier
1174589022
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LAC1076 Issued in LA
Legal business name
DEPARTMENT OF HEALTH AND HOSPITALS
Practice address
320 S Franklin St
Bastrop, LA 71220-4539
Phone
(318) 283-0868
Fax
(318) 283-0875
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Mr. Phyllis Jerri Parks, MSW
Title
Oad/Regional Administrator
Phone
(318) 362-3270

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X RAC1081 LA
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LAC1076 LA Primary
Multi-Specialty Clinic/Center 261QM1300X MD014425 LA

Addresses

Primary practice location

320 S Franklin St
Bastrop, LA 71220-4539

Mailing address

320 S Franklin St
Bastrop, LA 71220-4539
Phone (318) 283-0868

Other identifiers 1

IdentifierTypeStateIssuer
G3195OtherLABCBS

Other names 1

  • OBH-Bastrop Addictive Disorders Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1174589022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204539",
            "telephone_number": "318-283-0868",
            "fax_number": "318-283-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204539",
            "telephone_number": "318-283-0868",
            "fax_number": "318-283-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "JERRI",
        "authorized_official_title_or_position": "OAD/REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "318-362-3270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "RAC1081",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC1076",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "LA",
            "license": "MD014425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3195",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBH-Bastrop Addictive Disorders Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.