Organization Active NPI

Granberry Counseling Center

  • Mental Health Counselor
  • Monroe, LA
National Provider Identifier
1508100801
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4441 Issued in LA
Legal business name
GRANBERRY COUNSELING CENTER
Practice address
7200 Desiard St
Monroe, LA 71203-3913
Phone
(318) 345-8200
Fax
(318) 342-8049
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Kathy Eichelberger
Title
Director
Phone
(318) 345-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 4441 LA Primary

Addresses

Primary practice location

7200 Desiard St
Monroe, LA 71203-3913

Mailing address

7200 Desiard St
Monroe, LA 71203-3913

National Provider Directory

National Provider Directory
Tax ID family
Granberry Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7200 Desiard St
Monroe, LA 71203
Phone (318) 237-4623

Practitioners & affiliated clinicians

Practitioners 8

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": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1508100801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033913",
            "telephone_number": "318-345-8200",
            "fax_number": "318-342-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANBERRY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "EICHELBERGER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-345-8200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4441",
            "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 Nov 27, 2012; 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.