NPIMap

Organization Active NPI

Therapeutic Counseling Clinic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bogalusa, LA
National Provider Identifier
1194009993
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THERAPEUTIC COUNSELING CLINIC INC
Practice address
542 Columbia St Ste B
Bogalusa, LA 70427-4720
Phone
(985) 735-9448
Fax
(985) 735-8097
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Wendell Fornea
Title
Owner / President
Phone
(985) 735-9448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

542 Columbia St Ste B
Bogalusa, LA 70427-4720

Mailing address

542 Columbia St Ste B
Bogalusa, LA 70427-4720
Phone (985) 735-9448

National Provider Directory

National Provider Directory

Locations

542 Columbia St
Ste B
Bogalusa, LA 70427
Phone (985) 735-9448

Practitioners & affiliated clinicians

Practitioners 8

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1194009993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 COLUMBIA ST STE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274720",
            "telephone_number": "985-735-9448",
            "fax_number": "985-735-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 COLUMBIA ST STE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274720",
            "telephone_number": "985-735-9448",
            "fax_number": "985-735-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC COUNSELING CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "FORNEA",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "985-735-9448"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.