Active NPI
Celeste Marie Lewis, APRN/APMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Covington, LA
National Provider Identifier
1265790380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP06714
- Practice address
- 201 Holiday Blvd
Suite 120
Covington, LA 70433-5088 - Phone
- (985) 624-2942
- Fax
- (985) 231-1373
- NPI assigned
- Apr 26, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP06714 | LA | Primary |
Addresses
Primary practice location
201 Holiday Blvd
Suite 120
Covington, LA 70433-5088
Mailing address
201 Holiday Blvd
Suite 120
Covington, LA 70433-5088
Phone (985) 624-2942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2197291 | Medicaid | LA |
Other names 1
- Celeste Lewis Greenbaum
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06714 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Counseling and Wellness LLC | Past | Accepting new patients | |
| The Family Practice at Northshore Counseling and Wellness, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Covington, LA
- NPI 1427173954
-
- Primary Care Clinic/Center
- Covington, LA
- NPI 1932641669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1265790380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HOLIDAY BLVD",
"address_2": "SUITE 120",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704335088",
"telephone_number": "985-624-2942",
"fax_number": "985-231-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HOLIDAY BLVD",
"address_2": "SUITE 120",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704335088",
"telephone_number": "985-624-2942",
"fax_number": "985-231-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CELESTE",
"middle_name": "MARIE",
"credential": "APRN/APMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-26",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "AP06714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2197291",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CELESTE",
"last_name": "GREENBAUM",
"middle_name": "LEWIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.