NPIMap

Organization Active NPI

Array of Hope Outreach Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
National Provider Identifier
1194173005
Registry record updated Nov 2, 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
ARRAY OF HOPE OUTREACH CENTER
Practice address
11940 Bricksome Ave Ste C
Baton Rouge, LA 70816-2594
Phone
(225) 250-5829
Fax
(225) 250-5879
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Ms. Demetrice Marie ClarkNPI 1528430550
Title
Administrator
Phone
(225) 253-1277

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11940 Bricksome Ave Ste C
Baton Rouge, LA 70816-2594

Mailing address

11940 Bricksome Ave Ste C
Baton Rouge, LA 70816-2594
Phone (225) 250-5829

Other practice location 1

8261 Summa Ave Ste G
Baton Rouge, LA 70809-3452
Phone (225) 253-1277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240316000543 LA Part B Supplier - Clinic/Group Practice 6709222490 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

11940 Bricksome Ave
Ste C
Baton Rouge, LA 70816
Phone (225) 250-5829

8261 Summa Ave
Ste G
Baton Rouge, LA 70809
Phone (225) 250-5829

Practitioners & affiliated clinicians

Practitioners 11

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": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1194173005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 BRICKSOME AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162594",
            "telephone_number": "225-250-5829",
            "fax_number": "225-250-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 BRICKSOME AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162594",
            "telephone_number": "225-250-5829",
            "fax_number": "225-250-5879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8261 Summa Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093452",
            "country_code": "US",
            "telephone_number": "225-253-1277",
            "fax_number": "225-313-4063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARRAY OF HOPE OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEMETRICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-253-1277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.