Uprising Addiction Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

UPRISING ADDICTION CENTER, LLC

Practice address

7020 Klug Pines Rd
Shreveport, LA 71129-3300

Phone

(337) 855-9023

Fax

(337) 855-1829

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Mary Talbert

Title

Credentialing Manager

Phone

(337) 794-1585

Specialties & licenses 4

Addresses

Other names 1

• Uprising Addiction Clinic Doing business as

Tax ID family

Uprising Addiction Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Uprising Addiction Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
  • NPI 1811512262
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kierra Pollard, CIT

  • Addiction (Substance Use Disorder) Counselor
  • Shreveport, LA
  • NPI 1134940745
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1316619406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 KLUG PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293300",
            "telephone_number": "337-855-9023",
            "fax_number": "337-855-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 KLUG PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293300",
            "telephone_number": "337-855-9023",
            "fax_number": "337-855-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPRISING ADDICTION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "337-794-1585"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uprising Addiction Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uprising Addiction Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University Health Shreveport LLC
• University Health Shreveport LLC
• Unshattered Counseling Services, LLC
• Priyal Upadhyay, MD
• Hannahjo Cheyenne Upchurch
• Uprising Addiction Center, LLC
• Victoria Upton, DPT
• Elena Urbiztondo
• Urgent Care of Louisiana, LLC
• Urgentems

• All providers in Shreveport, LA
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.