Organization Active NPI

Eleanor Health Professional la, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Lafayette, LA
National Provider Identifier
1265050736
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
ELEANOR HEALTH PROFESSIONAL LA, LLC
Practice address
913 S College Rd Ste 204a
Lafayette, LA 70503-3062
Phone
(504) 226-8768
NPI assigned
Jul 10, 2020
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Nzinga Ajabu Harrison, MDNPI 1518099910
Title
Chief Medical Officer & Owner
Phone
(781) 230-6838

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU Primary
Addiction Psychiatry Physician 2084P0802X NU

Addresses

Primary practice location

913 S College Rd Ste 204a
Lafayette, LA 70503-3062

Mailing address

PO Box 386
Portsmouth, NH 03802-0386
Phone (866) 853-6162

Other practice location 1

3901 Houma Blvd Ste 404
Metairie, LA 70006-2930
Phone (504) 910-7685

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210309000503 LA Part B Supplier - Clinic/Group Practice 4587070008 Receives reassigned benefits from 11 practitioners
Practice locations: Baton Rouge, LA; Metairie, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2231063Eleanor Health Professional la, LLC Metairie, la3901 Houma Blvd, Suite 404, Metairie, LA 70006Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory

Locations

3975 Oneal Ln
Ste B
Baton Rouge, LA 70816
Phone (225) 267-9792

913 S College Rd
Lafayette, LA 70503
Phone (337) 234-5344

913 S College Rd
Ste 204A
Lafayette, LA 70503

6969 Fern Loop
Ste 201
Shreveport, LA 71105
Phone (318) 666-8486

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1265050736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038020386",
            "telephone_number": "866-853-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD STE 204A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033062",
            "telephone_number": "504-226-8768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Houma Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700062930",
            "country_code": "US",
            "telephone_number": "504-910-7685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEANOR HEALTH PROFESSIONAL LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "NZINGA",
        "authorized_official_middle_name": "AJABU",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER & OWNER",
        "authorized_official_telephone_number": "781-230-6838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.