NPIMap

Organization Active NPI

Lakefront Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Mandeville, LA
National Provider Identifier
1437901220
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKEFRONT BEHAVIORAL HEALTH SERVICES LLC
Practice address
620 Girod St
Mandeville, LA 70448-5206
Phone
(985) 200-1223
Fax
(985) 246-3198
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Jodi L Ladner, MS, NCCNPI 1225496722
Title
Owner
Phone
(985) 200-1223

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

620 Girod St
Mandeville, LA 70448-5206

Mailing address

620 Girod St
Mandeville, LA 70448-5206
Phone (985) 200-1223

National Provider Directory

National Provider Directory

Locations

620 Girod St
Mandeville, LA 70448
Phone (985) 200-1223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1437901220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GIROD ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485206",
            "telephone_number": "985-200-1223",
            "fax_number": "985-246-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GIROD ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485206",
            "telephone_number": "985-200-1223",
            "fax_number": "985-246-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "LADNER",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-200-1223",
        "authorized_official_credential": "MS, NCC"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.