NPIMap

Organization Active NPI

Volunteers of America Southeast Louisiana, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mandeville, LA
National Provider Identifier
1285761965
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Practice address
823 Carroll St Ste B
Mandeville, LA 70448-5126
Phone
(985) 674-5475
Fax
(985) 674-5475
NPI assigned
Feb 28, 2007
Organization subpart
Yes
Parent organization
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jason Burt
Title
Evp of Enterprise & Administration
Phone
(504) 486-8674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

823 Carroll St Ste B
Mandeville, LA 70448-5126

Mailing address

4152 Canal Street
New Orleans, LA 70119-5941
Phone (504) 482-2130

Other identifiers 2

IdentifierTypeStateIssuer
1155811MedicaidLA
3231018MedicaidLA

Other names 2

  • Lakeshore Counseling Center Doing business as
  • Volunteers of America Greater New Orleans, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America SE la24 organizations share this tax ID, including this one
Part of
Volunteers of America SE la

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1285761965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 CANAL STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195941",
            "telephone_number": "504-482-2130",
            "fax_number": "504-482-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CARROLL ST STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485126",
            "telephone_number": "985-674-5475",
            "fax_number": "985-674-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EVP OF ENTERPRISE & ADMINISTRATION",
        "authorized_official_telephone_number": "504-486-8674"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1155811",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3231018",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Volunteers of America Greater New Orleans, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.