NPIMap

Organization Active NPI

Imperial Calcasieu Human Services Authority

Doing business as Allen Behavioral Health Clinic

  • Behavior Analyst
  • Oakdale, LA
National Provider Identifier
1467844910
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
177 Issued in LA
Legal business name
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
Doing business as
Allen Behavioral Health Clinic
Practice address
145 Hospital Dr
Oakdale, LA 71463-3034
Phone
(337) 639-3001
Fax
(337) 639-3008
NPI assigned
Feb 20, 2015
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Jenny MillsNPI 1780722926
Title
Behavioral Health Division Director
Phone
(337) 475-8022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 177 LA Primary

Addresses

Primary practice location

145 Hospital Dr
Oakdale, LA 71463-3034

Mailing address

4105 Kirkman St
Lake Charles
Lake Charles, LA 70607-4603
Phone (337) 475-8022

Other names 1

  • Allen Behavioral Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imperial Calcasieu Hsa8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1467844910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "address_2": "LAKE CHARLES",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633034",
            "telephone_number": "337-639-3001",
            "fax_number": "337-639-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIVISION DIRECTOR",
        "authorized_official_telephone_number": "337-475-8022"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allen Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.