Active NPI
Louisiana Reentry & Rehabilitation Services Inc.
- Counselor
- Monroe, LA
National Provider Identifier
1427343607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- LOUISIANA REENTRY & REHABILITATION SERVICES INC.
- Practice address
- 1116 Jackson St
Monroe, LA 71202-2024 - Phone
- (318) 325-1506
- Fax
- (318) 325-1585
- NPI assigned
- Jun 15, 2011
- Last updated
- Jun 15, 2011
- 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
- Mr. Charles R Theus
- Title
- President
- Phone
- (318) 614-1598
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1116 Jackson St
Monroe, LA 71202-2024
Mailing address
1116 Jackson St
Monroe, LA 71202-2024
Phone (318) 325-1506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| STATE LICENSE NUMBER | Other | LA | STATE LICENSE NUMBER 331 |
National Provider Directory
National Provider Directory- Tax ID family
- Louisiana Re-Entry Rehabilitation Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1770721730
-
- Community/Behavioral Health Agency
- West Monroe, LA
- NPI 1407094253
Locations
1116 Jackson St
Monroe, LA 71202
Phone (318) 325-1506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308096000000",
"number": "1427343607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712022024",
"telephone_number": "318-325-1506",
"fax_number": "318-325-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712022024",
"telephone_number": "318-325-1506",
"fax_number": "318-325-1585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA REENTRY & REHABILITATION SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A",
"authorized_official_last_name": "THEUS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-614-1598",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER 331",
"identifier": "STATE LICENSE NUMBER",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
- Louisiana Mohs & Skin Surgery Center, LLC
- Louisiana Oncology, LLC
- Louisiana Pain Care
- Louisiana Pain Care, LLC
- Louisiana Pain Care, LLC
- Louisiana State University Health Sciences Center (Comphrehensive Clinic of Monroe)
- Louisiana State University Health Sciences Center (LSU Clinics of Monroe)
- Louisiana United Methodist Children & Family Services, Inc (Methodist Foster Care Monroe)
- Louisiana United Methodist Children and Family Services, Inc. (Family Plus- Monroe)
- Love & Care Medical Transport LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.