Individual provider Active NPI

Alvin Scott Dutruch, LPC, NCC, MAC

  • Mental Health Counselor
  • Covington, LA
National Provider Identifier
1447004429
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC9822 Issued in LA
Practice address
20015 Campground Rd Apt 4
Covington, LA 70435-3403
Phone
(985) 260-2874
Fax
(985) 520-2874
NPI assigned
Apr 15, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MAC5688 LA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC9822 LA Primary

Addresses

Primary practice location

20015 Campground Rd Apt 4
Covington, LA 70435-3403

Mailing address

20015 Campground Rd Apt 4
Covington, LA 70435-3403
Phone (985) 260-2003

Other practice location 1

20015 Campground Rd Apt 4
Covington, LA 70435-3403
Phone (985) 260-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MAC5688LAMDAddiction (Substance Use Disorder) Counselor
LPC9822LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Biltmore Health Services Inc Mental Health PastSince Apr 1, 2024 Accepting new patients
Biltmore Health Services Inc Multi-Specialty PastSince Apr 1, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1447004429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20015 CAMPGROUND RD APT 4",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704353403",
            "telephone_number": "985-260-2003",
            "fax_number": "985-260-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20015 CAMPGROUND RD APT 4",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704353403",
            "telephone_number": "985-260-2874",
            "fax_number": "985-520-2874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20015 Campground Rd Apt 4",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704353403",
            "country_code": "US",
            "telephone_number": "985-260-2003",
            "fax_number": "985-260-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTRUCH",
        "first_name": "ALVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC, MAC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "MAC5688",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "LPC9822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 10, 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.