Organization Active NPI

Family Bridges Counseling Center, LLC

  • Professional Counselor
  • Lake Charles, LA
National Provider Identifier
1457767980
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FAMILY BRIDGES COUNSELING CENTER, LLC
Practice address
4131 Canal St Ste B
Lake Charles, LA 70605-3362
Phone
(337) 274-8017
Fax
(833) 713-2641
NPI assigned
Jul 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Ms. Michelle Renee Roshto, MA, LPCNPI 1013298991
Title
Provider
Phone
(337) 274-8017

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4131 Canal St Ste B
Lake Charles, LA 70605-3362

Mailing address

4131 Canal St Ste B
Lake Charles, LA 70605-3362
Phone (337) 274-8017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1404432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1457767980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 CANAL ST STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706053362",
            "telephone_number": "337-274-8017",
            "fax_number": "833-713-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 CANAL ST STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706053362",
            "telephone_number": "337-274-8017",
            "fax_number": "833-713-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BRIDGES COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-04",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "ROSHTO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "337-274-8017",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.