NPIMap

Organization Active NPI

Department of Health and Hospitals

Doing business as Behavioral Health Clinic of Central La (AD)

  • Addiction Medicine (Family Medicine) Physician
  • Pineville, LA
National Provider Identifier
1306800289
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD 017125 Issued in LA
Legal business name
DEPARTMENT OF HEALTH AND HOSPITALS
Doing business as
Behavioral Health Clinic of Central La (AD)
Practice address
242 West Shamrock
Unit 1
Pineville, LA 71360
Phone
(318) 488-6846
Fax
(318) 488-6844
NPI assigned
Apr 17, 2006
Last updated
Jul 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Mr. John Egan Jones, LCSWNPI 1265448849
Title
Regional Administrator
Phone
(318) 487-5191

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 10

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC 592 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC # 904 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC #713 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X RAC #1340 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC #1330 LA
Clinical Social Worker 1041C0700X RSW # 7478 LA
Clinical Social Worker 1041C0700X LMSW #4870 LA
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN #055444 LA
Licensed Practical Nurse 164W00000X LPN # 850513 LA
Addiction Medicine (Family Medicine) Physician 207QA0401X MD 017125 LA Primary

Addresses

Primary practice location

242 West Shamrock
Unit 1
Pineville, LA 71360

Mailing address

PO Box 7473
Alexandria, LA 71306-7473
Phone (318) 488-6846

Other identifiers 1

IdentifierTypeStateIssuer
G9759OtherLABLUECROSS BLUESHILED

Other names 1

  • Behavioral Health Clinic of Central La (AD) Doing business as

National Provider Directory

National Provider Directory

Locations

242 W Shamrock Ave
Unit 1
Pineville, LA 71360
Phone (318) 484-6850

Practitioners & affiliated clinicians

Practitioners 11

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1306800289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7473",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713067473",
            "telephone_number": "318-488-6846",
            "fax_number": "318-488-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WEST SHAMROCK",
            "address_2": "UNIT 1",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-488-6846",
            "fax_number": "318-488-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EGAN",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "318-487-5191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC 592",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC # 904",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC #713",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "RAC #1340",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CAC #1330",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "RSW # 7478",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "LMSW #4870",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "RN #055444",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "LPN # 850513",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "LA",
            "license": "MD 017125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHILED",
            "identifier": "G9759",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Clinic of Central La (AD)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.