Bayou Mental Health of Alexandria and Deridder

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MD201241 Issued in LA

Legal business name

BAYOU MENTAL HEALTH OF ALEXANDRIA AND DERIDDER

Practice address

1605 Murray St
Suite 104
Alexandria, LA 71301-6890

Phone

(318) 623-5839

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Knakita Bailey

Title

Practice Manager

Phone

(318) 623-5839

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Angela Craig, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Deridder, LA
  • NPI 1902288095
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1457713224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12726",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 MURRAY ST",
            "address_2": "SUITE 104",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713016890",
            "telephone_number": "318-623-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU MENTAL HEALTH OF ALEXANDRIA AND DERIDDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KNAKITA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "318-623-5839"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "MD201241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1408034",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Arnez Bayonne
• Melinda S Bayonne, OT
• Bayou Healthcare LLC (Crossroads Regional Hospital)
• Bayou Healthcare, LLC (Crossroads Regional Hospital)
• Bayou Medical Equipment Corp
• Bayou Rapides Rehab, LLC
• Chasity Bazile
• Be Inspired Counseling & Consulting LLC (Be Inspired Counseling & Consulting)
• Beacon Behavioral Outpatient - Alexandria LLC
• Dejandra M Beal

• Community/Behavioral Health Agency in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.