NPIMap

Organization Active NPI

John Lovern, LCSW, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Slidell, LA
National Provider Identifier
1306029392
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
3267 Issued in LA
Legal business name
JOHN LOVERN, LCSW, LLC
Practice address
1186 Fremaux Ave
Slidell, LA 70458-3538
Phone
(985) 643-5145
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
John Aaron Lovern, LCSW
Title
Owner
Phone
(504) 616-4064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 3267 LA Primary

Addresses

Primary practice location

1186 Fremaux Ave
Slidell, LA 70458-3538

Mailing address

68164 Marion St
Mandeville, LA 70471-7822
Phone (504) 616-4064

National Provider Directory

National Provider Directory

Locations

1186 Fremaux Ave
Slidell, LA 70458
Phone (985) 643-5145

Practitioners & affiliated clinicians

Practitioners 6

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1306029392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68164 MARION ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717822",
            "telephone_number": "504-616-4064",
            "fax_number": "985-892-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 FREMAUX AVE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583538",
            "telephone_number": "985-643-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LOVERN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "LOVERN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-616-4064",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "LA",
            "license": "3267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.