Organization Active NPI

Southwest Louisiana AIDS Council

  • Federally Qualified Health Center (FQHC)
  • Lake Charles, LA
National Provider Identifier
1396622262
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHWEST LOUISIANA AIDS COUNCIL
Doing business as
Comprehensive Care Center of Southwest Louisiana
Practice address
425 Kingsley St
Lake Charles, LA 70601-3533
Phone
(337) 439-5861
Fax
(337) 436-8713
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Terry L Estes
Title
Ceo
Phone
(337) 292-0619

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

425 Kingsley St
Lake Charles, LA 70601-3533

Mailing address

425 Kingsley St
Lake Charles, LA 70601-3533
Phone (337) 439-5861

Other names 1

  • Comprehensive Care Center of Southwest Louisiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160617001277 LA Part B Supplier - Clinic/Group Practice 5890086078 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lake Charles, LA
O20251121001615 LA Part A Provider - Federally Qualified Health Center (FQHC) 5890086078 Practice locations: Lake Charles, LA

Federally qualified health center certification: CCN 951034

Legal name
SOUTHWEST LOUISIANA AIDS COUNCIL
Doing business as
COMPREHENSIVE CARE CENTER OF SOUTHWEST LOUISIANA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 13, 2025
Last certification
Nov 13, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
425 Kingsley St
Lake Charles, LA 70601-3533

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Care Center of Southwest Louisiana2 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.

Locations

425 Kingsley St
Lake Charles, LA 70601
Phone (337) 439-5861

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Crystal Briscoe Individual Corporate OfficerBoard Member Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Nancy Piggee Individual Corporate OfficerBoard Member Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Carla Clark Individual Corporate OfficerBoard Member Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Larry Pichon Individual Corporate OfficerBoard Member Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Terry Estes Individual Corporate OfficerCeo Aug 1, 2025 80%
Corporate DirectorCeo Aug 1, 2025 80%
W-2 Managing EmployeeCeo Aug 1, 2025 80%
Darrell Nevels Individual Corporate OfficerBoard Member Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Denise Miller-Washburne Individual Corporate OfficerBoard Member Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Laura Tilbrook Individual Corporate OfficerCfo Aug 1, 2025 10%
Corporate DirectorCfo Aug 1, 2025 10%
W-2 Managing EmployeeCfo Aug 1, 2025 10%
Marilyn Dunn Individual Corporate OfficerBoard Member Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Angela Matte Individual Corporate OfficerBoard Member Aug 1, 2025
Corporate DirectorBoard Member Aug 1, 2025
Yvonne Lewis Individual Corporate OfficerCoo Aug 1, 2025 10%
Corporate DirectorCoo Aug 1, 2025 10%
W-2 Managing EmployeeCoo Aug 1, 2025 10%

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1396622262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 KINGSLEY ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706013533",
            "telephone_number": "337-439-5861",
            "fax_number": "337-436-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 KINGSLEY ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706013533",
            "telephone_number": "337-439-5861",
            "fax_number": "337-436-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LOUISIANA AIDS COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-292-0619"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Care Center of Southwest Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.