Organization Active NPI

Arc of Healing Therapy Services

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1194413096
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARC OF HEALING THERAPY SERVICES
Practice address
4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640
Phone
(225) 512-4669
Fax
(833) 222-8840
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Dr. Khrishandalyn Rationne Hicks, LCSW-BACSNPI 1821464546
Title
Owner
Phone
(337) 577-0937

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640

Mailing address

4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640
Phone (225) 512-4669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231004000414 LA Part B Supplier - Clinic/Group Practice 1456705813 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

4875 S Sherwood Forest Blvd
Ste D1
Baton Rouge, LA 70816
Phone (225) 217-2898

3040 Teddy Dr
Ste A1
Baton Rouge, LA 70809

Practitioners & affiliated clinicians

Practitioners 1

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": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1194413096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 S SHERWOOD FOREST BLVD STE D1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164640",
            "telephone_number": "225-512-4669",
            "fax_number": "833-222-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 S SHERWOOD FOREST BLVD STE D1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164640",
            "telephone_number": "225-512-4669",
            "fax_number": "833-222-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF HEALING THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KHRISHANDALYN",
        "authorized_official_middle_name": "RATIONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-577-0937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-BACS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Oct 4, 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.