Active NPI
Orlando Petrie
- Counselor
- New Orleans, LA
National Provider Identifier
1285089334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4480 General Degaulle Dr
Suite 206
New Orleans, LA 70131-6941 - Phone
- (504) 905-6945
- NPI assigned
- Apr 26, 2016
- 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
4480 General Degaulle Dr
Suite 206
New Orleans, LA 70131-6941
Mailing address
4480 General Degaulle Dr
Suite 206
New Orleans, LA 70131-6941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472964148 | Medicaid | LA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shared Hearts Mental Health Services | Past | Accepting new patients |
Organizations & group practices 1
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
- New Orleans, LA
- NPI 1346628781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1285089334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 GENERAL DEGAULLE DR",
"address_2": "SUITE 206",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701316941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 GENERAL DEGAULLE DR",
"address_2": "SUITE 206",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701316941",
"telephone_number": "504-905-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRIE",
"first_name": "ORLANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "472964148",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.