Active NPI
Amanda Curry, RSW, CIT
- Addiction (Substance Use Disorder) Counselor
- Bossier City, LA
National Provider Identifier
1356810147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14832
- Practice address
- 1525 Fullilove Dr
Bossier City, LA 71112-3346 - Phone
- (318) 747-1211
- Fax
- (318) 317-3333
- NPI assigned
- Nov 21, 2018
- Last updated
- Nov 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14832 | LA | Primary |
Addresses
Primary practice location
1525 Fullilove Dr
Bossier City, LA 71112-3346
Mailing address
2000 Fairfield Avenue
Shreveport, LA 71104
Phone (318) 222-8511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14832 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Council on Alcoholism and Drug Abuse of Northwest Louisiana | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- Shreveport, LA
- NPI 1699955815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1356810147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 FAIRFIELD AVENUE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71104",
"telephone_number": "318-222-8511",
"fax_number": "318-222-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 FULLILOVE DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711123346",
"telephone_number": "318-747-1211",
"fax_number": "318-317-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURRY",
"first_name": "AMANDA",
"credential": "RSW, CIT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "14832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.