Individual provider Active NPI

Roderick Montrell Handy

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1497270516
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9237 Issued in LA
Practice address
1162 Oliver Rd Ste 4
Monroe, LA 71201-5757
Phone
(318) 340-1535
NPI assigned
Aug 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PLC9237 LA
Mental Health Counselor 101YM0800X PLC9237 LA
Case Manager/Care Coordinator 171M00000X PLC9237 LA
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 9237 LA Primary

Addresses

Primary practice location

1162 Oliver Rd Ste 4
Monroe, LA 71201-5757

Mailing address

1162 Oliver Rd Ste 4
Monroe, LA 71201-5757
Phone (318) 340-1535

Other practice location 1

4951 Central Ave
Monroe, LA 71203
Phone (318) 340-1535

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

State licenses

LicenseStateTypeSpecialty
PLC9237LAMDCounselor
9237LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Truth Center of Monroe Counselor Current Accepting new patients
Renewed Minds Behavioral Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1497270516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 OLIVER RD STE 4",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015757",
            "telephone_number": "318-340-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 OLIVER RD STE 4",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015757",
            "telephone_number": "318-340-1535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "71203",
            "country_code": "US",
            "telephone_number": "318-340-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDY",
        "first_name": "RODERICK",
        "middle_name": "MONTRELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "PLC9237",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC9237",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PLC9237",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.