Northside Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4039 Issued in LA

Legal business name

NORTHSIDE COUNSELING SERVICES, LLC

Practice address

1413 Military Rd
Bogalusa, LA 70427-2935

Phone

(985) 516-3298

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By 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. Robert Dale Lott, LPCNPI 1558559062

Title

Licensed Professional Counselor

Phone

(985) 516-3298

Specialties & licenses 1

Addresses

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.

• Robert Dale Lott, LCSW

  • Clinical Social Worker
  • Bogalusa, LA
  • NPI 1558559062
  NPD Authorized official

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1548536303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 MILITARY RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704272935",
            "telephone_number": "985-516-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 MILITARY RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704272935",
            "telephone_number": "985-516-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "985-516-3298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "4039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northshore EMS LLC
• Northshore EMS LLC
• Ally Noyes, MD
• Elayna J O'Connor- Morris, MS, MA, LPC, NCC
• Charles Huston Oakes, DPT
• Ochsner Clinic LLC (Ochsner Health Center Bogalusa)
• Ochsner Clinic LLC (Ochsner Health Center Bogalusa)

• Community/Behavioral Health Agency in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Community/Behavioral Health Agency in Louisiana

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