Kingsley House, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KINGSLEY HOUSE, INC

Practice address

1600 Constance St
New Orleans, LA 70130-4641

Phone

(504) 523-6221

Fax

(504) 523-4450

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Keith H Liederman, PHD

Title

Executive Director

Phone

(504) 523-6221

Specialties & licenses 1

Addresses

Tax ID family

Kingsley House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kingsley House Inc

  • Adult Day Care Clinic/Center
  • New Orleans, LA
  • NPI 1801001904
  NPD tax ID

Locations

Practitioners 1

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

• Meredith Vizzini, PLPC

  • Mental Health Counselor
  • New Orleans, LA
  • NPI 1366813750
  NPD (past)

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1194055665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CONSTANCE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304641",
            "telephone_number": "504-523-6221",
            "fax_number": "504-523-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONSTANCE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304641",
            "telephone_number": "504-523-6221",
            "fax_number": "504-523-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "LIEDERMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-523-6221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha King, LCSW-BACS
• Sherita King, LMSW
• Traci Jo King, MD
• Travis King
• Kingsley House Inc
• Kelli Elizabeth Kingston, MSW
• Abraham Kinkopf
• Amber D Kinler, OTR/L
• Jed D Kinnick, M.D.
• Amy Kinzie, APRN, CNP

• Community/Behavioral Health Agency in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.