Street Smart Recovery LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

STREET SMART RECOVERY LLC

Doing business as

Street Smart Recovery

Practice address

11606 Southfork Ave
Baton Rouge, LA 70816-5235

Phone

(225) 439-7255

NPI assigned

Oct 11, 2019

Last updated

Oct 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Raybon

Title

Member Manager

Phone

(225) 439-7255

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STREET SMART RECOVERY Doing business as

Electronic endpoints 1

Locations

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.

• Jeffre Raybon

  • Home Modifications Contractor
  • Baton Rouge, LA
  • NPI 1831756022
  NPD (past)

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1518509579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164555",
            "telephone_number": "225-439-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 SOUTHFORK AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165235",
            "telephone_number": "225-439-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREET SMART RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "RAYBON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "225-439-7255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "101YA0400X",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeff@jrccaps.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11606 Southfork Ave",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708165235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "STREET SMART RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina N Strate, BCBA
• Strategic Alliances of Louisiana LLC
• Strategic Medical Alliance II, L.L.C.
• Lauren Yawn Strawbridge
• John C Streater
• Andrew John Streicher, MD
• Brittanie Strickland
• Cheryl Lynn Strickland
• Jana Strickland
• Kentya R Strickland

• Addiction (Substance Use Disorder) Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.