NPIMap

Organization Active NPI

Family Therapy and Wellness Consulting

  • Point of Service
  • Minden, LA
National Provider Identifier
1427415918
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
2032 Issued in LA
Legal business name
FAMILY THERAPY AND WELLNESS CONSULTING
Practice address
418 Webb CT
Minden, LA 71055-2649
Phone
(318) 371-2714
NPI assigned
Jan 28, 2016
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Mr. Richard Grant Martin, MA, LPC, LMFTNPI 1063562494
Title
Owner
Phone
(318) 469-9132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2032 LA
Point of Service 305S00000X 2032 LA Primary

Addresses

Primary practice location

418 Webb CT
Minden, LA 71055-2649

Mailing address

418 Webb CT
Minden, LA 71055-2649

Other identifiers 1

IdentifierTypeStateIssuer
137OtherLAMARRIAGE AND FAMILY THERAPIST

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": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1427415918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 WEBB CT",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WEBB CT",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552649",
            "telephone_number": "318-371-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY AND WELLNESS CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-469-9132",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "2032",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST",
            "identifier": "137",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.