Active NPI
Zuri Poullard
- Counselor
- Lake Charles, LA
National Provider Identifier
1255866349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1639 Ryan St
Lake Charles, LA 70601-5948 - Phone
- (337) 602-6391
- Fax
- (337) 602-6392
- NPI assigned
- Apr 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1639 Ryan St
Lake Charles, LA 70601-5948
Mailing address
1639 Ryan St
Lake Charles, LA 70601-5948
Phone (337) 602-6391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203783030 | Other | LA | KINGDOM EXPRESSIONS LLC BEHAVIORAL HEALTH- MHS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1255866349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015948",
"telephone_number": "337-602-6391",
"fax_number": "337-602-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015948",
"telephone_number": "337-602-6391",
"fax_number": "337-602-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULLARD",
"first_name": "ZURI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KINGDOM EXPRESSIONS LLC BEHAVIORAL HEALTH- MHS",
"identifier": "2203783030",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.