NPIMap

Organization Active NPI

Imperial Calcasieu Human Services Authority

Doing business as ImCal BH Jefferson Davis

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jennings, LA
National Provider Identifier
1437522034
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
95-C Issued in LA
Legal business name
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
Doing business as
ImCal BH Jefferson Davis
Imperial Calcasieu HSA Behavioral Health Jefferson Davis
Practice address
437 N Market St
Jennings, LA 70546-5857
Phone
(337) 246-7325
Fax
(337) 246-7328
NPI assigned
Nov 4, 2015
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Nikyia Brown
Title
Credentialing Spec.
Phone
(337) 475-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 95-C LA Primary

Addresses

Primary practice location

437 N Market St
Jennings, LA 70546-5857

Mailing address

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-3100

Other names 2

  • ImCal BH Jefferson Davis Doing business as
  • Imperial Calcasieu HSA Behavioral Health Jefferson Davis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131219000151 LA Part B Supplier - Clinic/Group Practice 2860629839 Receives reassigned benefits from 33 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Deridder, LA; Jennings, LA; Lake Charles, LA; Oakdale, LA; Sulphur, LA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Imperial Calcasieu Hsa8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1211 N Cutting Ave
Jennings, LA 70546
Phone (337) 246-7325

437 N Market St
Jennings, LA 70546
Phone (337) 246-7325

Practitioners & affiliated clinicians

Practitioners 8

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": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1437522034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-3100",
            "fax_number": "337-475-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N MARKET ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465857",
            "telephone_number": "337-246-7325",
            "fax_number": "337-246-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NIKYIA",
        "authorized_official_title_or_position": "CREDENTIALING SPEC.",
        "authorized_official_telephone_number": "337-475-3100"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "95-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ImCal BH Jefferson Davis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imperial Calcasieu HSA Behavioral Health Jefferson Davis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.