Organization Active NPI

Connect Counseling LLC

  • Clinical Social Worker
  • Clinton, LA
National Provider Identifier
1407504087
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONNECT COUNSELING LLC
Practice address
12385 Haynes Street
Clinton, LA 70722
Phone
(225) 719-3680
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Brandilyn Phipps Hodges, LCSWNPI 1861833048
Title
Social Worker/Clinical
Phone
(225) 719-3680

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

12385 Haynes Street
Clinton, LA 70722

Mailing address

PO Box 1818
Clinton, LA 70722-1818
Phone (225) 719-3680

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220814000036 LA Part B Supplier - Clinic/Group Practice 4688057342 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1407504087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1818",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707221818",
            "telephone_number": "225-719-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 HAYNES STREET",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "70722",
            "telephone_number": "225-719-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "BRANDILYN",
        "authorized_official_middle_name": "PHIPPS",
        "authorized_official_title_or_position": "SOCIAL WORKER/CLINICAL",
        "authorized_official_telephone_number": "225-719-3680",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "12385 Haynes Street",
            "city": "Clinton",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.

Verify at the official NPI Registry.