NPIMap

Organization Active NPI

Live Oak Behavioral Health Group, L.L.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Saint Martinville, LA
National Provider Identifier
1285093922
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LIVE OAK BEHAVIORAL HEALTH GROUP, L.L.C.
Practice address
7084 Cemetary Hwy
At Live Oak Landing
Saint Martinville, LA 70582-7900
Phone
(800) 924-4012
NPI assigned
Feb 22, 2016
Last updated
Jul 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Mark D Barrentine, LCSWNPI 1184270548
Title
Member, Manager
Phone
(800) 924-4012

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

7084 Cemetary Hwy
At Live Oak Landing
Saint Martinville, LA 70582-7900

Mailing address

PO Box 139
Saint Martinville, LA 70582-0139
Phone (800) 924-4012

Other practice location 1

1084 Live Oak Lndg
Saint Martinville, LA 70582-7940
Phone (800) 924-4012

National Provider Directory

National Provider Directory

Locations

1084 Live Oak Lndg
Saint Martinville, LA 70582
Phone (800) 924-4012

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1285093922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705820139",
            "telephone_number": "800-924-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7084 CEMETARY HWY",
            "address_2": "AT LIVE OAK LANDING",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705827900",
            "telephone_number": "800-924-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1084 Live Oak Lndg",
            "address_purpose": "LOCATION",
            "city": "Saint Martinville",
            "state": "LA",
            "postal_code": "705827940",
            "country_code": "US",
            "telephone_number": "800-924-4012",
            "fax_number": "866-223-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVE OAK BEHAVIORAL HEALTH GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "BARRENTINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "800-924-4012",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Martinville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.