Addiction Counseling and Educational Resources, LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Slidell, LA
NPI 1245375203 · NPPES record last updated Oct 23, 2018
Key facts
- NPI
- 1245375203
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- ADDICTION COUNSELING AND EDUCATIONAL RESOURCES, LLC
- Practice address
- 115 Christian LN
Slidell, LA 70458-1350 - Phone
- (985) 690-6622
- Fax
- (985) 690-6662
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Morris C. Hawkins, RN
- Title
- Ceo
- Phone
- (985) 690-6622
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 2
Practitioners 8
-
Gregory Caudill, M.D.
-
Brittney Boyer McIver, M.A., PLPC
-
Angela B Beasley, LPC
-
Caroline Folkes Rausch, M.ED., NCC, LPC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2029023 | Acer, LLC | Certificate of waiver | Aug 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110414000334 | LA | Part B Supplier - Clinic/Group Practice | 1153505235 |
Receives reassigned benefits from 8 practitioners 3 other NPIs on this enrollment Practice locations: Baton Rouge, LA; Metairie, LA; Slidell, LA |
National Provider Directory
- Tax ID family
- Acer LLC
Locations
115 Christian Ln
Slidell, LA 70458
Phone (985) 690-6622
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
115 Christian LN
Slidell, LA 70458-1350
Mailing address
115 Christian LN
Slidell, LA 70458-1350
Phone (985) 690-6622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600014795 | Medicaid | LA |
Other names
- ACER, LLC
Other providers in Slidell, LA
- Katherine Lee Adams
- Michelle V Adams
- Ursula Adams
- Brittany Ellis Adcock
- Sean Michael Adcock
- Oladunni Modupeola Adetoba
- Administrators of the Tulane Educational Fund
- Adoni Transportation Service
- Adrienne Pizza Brink LLC
- Advanced Imaging Center, LLC
All providers in Slidell, LA · Substance Use Disorder Rehabilitation Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.