Organization Active NPI

Avenue Parc

  • Health Service Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1427738731
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
AVENUE PARC
Doing business as
Avenue Parc
Practice address
646 N Foster Dr Ste B
Baton Rouge, LA 70806-1887
Phone
(225) 287-4146
NPI assigned
Jul 20, 2023
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Kyjuana Moses
Title
Ceo
Phone
(225) 287-4146

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

646 N Foster Dr Ste B
Baton Rouge, LA 70806-1887

Mailing address

950 Eagles Landing Pkwy Ste 237
Stockbridge, GA 30281-7343
Phone (225) 287-4146

Other names 1

  • Avenue Parc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000218 LA Part B Supplier - Clinic/Group Practice 7618324765 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

646 N Foster Dr
Ste B
Baton Rouge, LA 70806
Phone (225) 287-4146

Practitioners & affiliated clinicians

Practitioners 4

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": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1427738731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY STE 237",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "225-287-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 N FOSTER DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061887",
            "telephone_number": "225-287-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE PARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "KYJUANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-287-4146"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Parc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avenue Parc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.