NPIMap

Organization Active NPI

Pauls Intervention Service

  • Community/Behavioral Health Agency
  • Jena, LA
National Provider Identifier
1477838191
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2040 Issued in LA
Legal business name
PAULS INTERVENTION SERVICE
Practice address
165 Sonny LN
Jena, LA 71342-5915
Phone
(318) 992-5677
Fax
(318) 992-5677
NPI assigned
Oct 13, 2011
Last updated
Oct 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Mary D Paul, LPC
Title
General Owner
Phone
(318) 992-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2040 LA Primary

Addresses

Primary practice location

165 Sonny LN
Jena, LA 71342-5915

Mailing address

165 Sonny LN
Jena, LA 71342-5915
Phone (318) 992-5677

National Provider Directory

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": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1477838191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SONNY LN",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713425915",
            "telephone_number": "318-992-5677",
            "fax_number": "318-992-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SONNY LN",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713425915",
            "telephone_number": "318-992-5677",
            "fax_number": "318-992-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULS INTERVENTION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL OWNER",
        "authorized_official_telephone_number": "318-992-5677",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "2040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.