Active NPI
Center for Behavioral Health Louisiana LLC
- Methadone Clinic
- Shreveport, LA
National Provider Identifier
1376877456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- CENTER FOR BEHAVIORAL HEALTH LOUISIANA LLC
- Practice address
- 1303 Line Ave Ste 600
Shreveport, LA 71101-4638 - Phone
- (208) 367-9446
- NPI assigned
- Sep 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Higham
- Title
- Ceo
- Phone
- (214) 365-6112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
1303 Line Ave Ste 600
Shreveport, LA 71101-4638
Mailing address
5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244-3946
Phone (214) 365-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200226001941 | LA | Part B Supplier - Opioid Treatment Program (Otp) | 0244667533 |
1 other NPI on this enrollment Practice locations: Monroe, LA; Shreveport, LA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Methadone Clinic
- Monroe, LA
- NPI 1194133207
O20200226001941
National Provider Directory
National Provider Directory- Tax ID family
- Center for Behavioral Health Louisiana Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Methadone Clinic
- Monroe, LA
- NPI 1194133207
Locations
1303 Line Ave
Shreveport, LA 71101
Phone (318) 425-3400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Shreveport, LA
- NPI 1124739321
-
- Counselor
- Shreveport, LA
- NPI 1366057846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1376877456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SPRING VALLEY ROAD",
"address_2": "SUITE 600 EAST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443946",
"telephone_number": "214-365-6100",
"fax_number": "214-365-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 LINE AVE STE 600",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014638",
"telephone_number": "208-367-9446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR BEHAVIORAL HEALTH LOUISIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "HIGHAM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-365-6112"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Alexis Corder Cefalu, FNP
- Christopher Anthony Cefalu, M.D.
- John N Cefalu, MD
- Elvira Cehajic, APRN
- Center for Advocating Restoring and Empowering Counseling LLC
- Center for Fertility
- Center for Hand Surgery, Inc.
- Center for Psychological Trauma, LLC
- Center Point, Inc Pines Treatment Center
- Center Point, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.