Individual provider Active NPI

Benjamin Tucker Savant, MA, LPC

  • Mental Health Counselor
  • Lake Charles, LA
National Provider Identifier
1467755124
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3893 Issued in LA
Practice address
748 Bayou Pines Drive East, Ste. D
Lake Charles, LA 70601
Phone
(337) 707-7724
Fax
(337) 419-0490
NPI assigned
Dec 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3893 LA Primary

Addresses

Primary practice location

748 Bayou Pines Drive East, Ste. D
Lake Charles, LA 70601

Mailing address

748 Bayou Pines East Dr Ste D
Lake Charles, LA 70601-7595
Phone (337) 707-7724

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3893LAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1467755124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 BAYOU PINES EAST DR STE D",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017595",
            "telephone_number": "337-707-7724",
            "fax_number": "337-625-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 BAYOU PINES DRIVE EAST, STE. D",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-707-7724",
            "fax_number": "337-419-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVANT",
        "first_name": "BENJAMIN",
        "middle_name": "TUCKER",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3893",
            "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 7, 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.