NPIMap

Organization Active NPI

Lakeside Counseling Center

  • Community/Behavioral Health Agency
  • Metairie, LA
National Provider Identifier
1568668242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
380 Issued in LA
Legal business name
LAKESIDE COUNSELING CENTER
Practice address
3350 Ridgelake Dr
Suite 86
Metairie, LA 70002-3836
Phone
(504) 293-0021
Fax
(504) 837-7988
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andre Sagrera Cuartas, PH.D.
Title
Owner, Director
Phone
(504) 293-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 380 LA Primary

Addresses

Primary practice location

3350 Ridgelake Dr
Suite 86
Metairie, LA 70002-3836

Mailing address

3350 Ridgelake Dr
Suite 86
Metairie, LA 70002-3836
Phone (504) 293-0021

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568668242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 RIDGELAKE DR",
            "address_2": "SUITE 86",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023836",
            "telephone_number": "504-293-0021",
            "fax_number": "504-837-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RIDGELAKE DR",
            "address_2": "SUITE 86",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023836",
            "telephone_number": "504-293-0021",
            "fax_number": "504-837-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUARTAS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "SAGRERA",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "504-293-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.