NPIMap

Organization Active NPI

Edgefield Recovery Center Dba Positive Direction Iop

  • Addiction (Substance Use Disorder) Counselor
  • Baton Rouge, LA
National Provider Identifier
1306263132
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
EDGEFIELD RECOVERY CENTER DBA POSITIVE DIRECTION IOP
Doing business as
Positive Direction IOP
Practice address
5319 Didesse Dr Ste D
Baton Rouge, LA 70808-6401
Phone
(225) 757-8044
NPI assigned
Mar 18, 2014
Organization subpart
Yes
Parent organization
EDGEFIELD RECOVERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Ms. Beverly Johnson, RN,CCM,CARN
Title
Administrator
Phone
(318) 730-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

5319 Didesse Dr Ste D
Baton Rouge, LA 70808-6401

Mailing address

5319 Didesse Dr Ste D
Baton Rouge, LA 70808-6401
Phone (225) 757-8044

Other names 1

  • Positive Direction IOP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edgefield Recovery Center Dba Positive Direction Iop2 organizations share this tax ID, including this one
Part of
Edgefield Recovery Center Dba Positive Direction Iop

Other organizations with this tax ID 1

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

Locations

5319 Didesse Dr
#D
Baton Rouge, LA 70808
Phone (225) 757-8044

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1306263132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 DIDESSE DR STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086401",
            "telephone_number": "225-757-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 DIDESSE DR STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086401",
            "telephone_number": "225-757-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEFIELD RECOVERY CENTER DBA POSITIVE DIRECTION IOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGEFIELD RECOVERY CENTER",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-730-1035",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,CCM,CARN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Direction IOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.