NPIMap

Organization Active NPI

Department of Health and Hospitals

Doing business as Northlake Addictive Disorders Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Covington, LA
National Provider Identifier
1437196946
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
233 Issued in LA
Legal business name
DEPARTMENT OF HEALTH AND HOSPITALS
Doing business as
Northlake Addictive Disorders Clinic
Practice address
19404 N 10TH St
Covington, LA 70433-8892
Phone
(985) 871-1380
Fax
(985) 871-1387
NPI assigned
Jun 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Robin Joubert, LCSWNPI 1124034442
Title
Clinic Manager
Phone
(985) 871-1380

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 233 LA Primary

Addresses

Primary practice location

19404 N 10TH St
Covington, LA 70433-8892

Mailing address

19404 N 10TH St
Covington, LA 70433-8892
Phone (985) 871-1380

Other names 1

  • Northlake Addictive Disorders Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437196946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19404 N 10TH ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338892",
            "telephone_number": "985-871-1380",
            "fax_number": "985-871-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19404 N 10TH ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338892",
            "telephone_number": "985-871-1380",
            "fax_number": "985-871-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOUBERT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "985-871-1380",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northlake Addictive Disorders Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.