NPIMap

Organization Active NPI

Counseling Beyond Walls

  • Counselor
  • Covington, LA
National Provider Identifier
1306347869
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5610 Issued in LA
Legal business name
COUNSELING BEYOND WALLS
Practice address
814 W 21St Ave
Covington, LA 70433-7405
Phone
(985) 520-2920
Fax
(866) 465-0075
NPI assigned
Feb 21, 2018
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Carol Burnett Williams, LPCNPI 1275833725
Title
Owner
Phone
(985) 520-2920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 5610 LA Primary

Addresses

Primary practice location

814 W 21St Ave
Covington, LA 70433-7405

Mailing address

814 W 21St Ave
Covington, LA 70433-7405
Phone (985) 520-2920

Other identifiers 1

IdentifierTypeStateIssuer
1275833725MedicaidMS

Other names 1

  • Carol Burnett Williams Other name

National Provider Directory

National Provider Directory

Locations

127 Terra Bella Blvd
Ste 1
Covington, LA 70433

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": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1306347869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337405",
            "telephone_number": "985-520-2920",
            "fax_number": "866-465-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337405",
            "telephone_number": "985-520-2920",
            "fax_number": "866-465-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING BEYOND WALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "BURNETT WILLIAMS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-520-2920",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "LA",
            "license": "5610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275833725",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol Burnett Williams",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.