NPIMap

Organization Active NPI

Imperial Calcasieu Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakdale, LA
National Provider Identifier
1578601746
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
177 Issued in LA
Legal business name
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
Practice address
145 Hospital Dr
Oakdale, LA 71463-3034
Phone
(337) 369-3001
Fax
(337) 639-3008
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Nikyia Brown
Title
Credentialing Spec.
Phone
(337) 475-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 177 LA Primary

Addresses

Primary practice location

145 Hospital Dr
Oakdale, LA 71463-3034

Mailing address

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-3100

Other identifiers 1

IdentifierTypeStateIssuer
1710580MedicaidLA

Other names 2

  • ImCal BH Allen Doing business as
  • Imperial Calcasieu HSA Behavioral Health Allen Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131219000151 LA Part B Supplier - Clinic/Group Practice 2860629839 Receives reassigned benefits from 33 practitioners
4 other NPIs on this enrollment
Practice locations: Deridder, LA; Jennings, LA; Lake Charles, LA; Oakdale, LA; Sulphur, LA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Imperial Calcasieu Hsa8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

402 W 8th St
Deridder, LA 70634
Phone (337) 401-4686

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1578601746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-3100",
            "fax_number": "337-475-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633034",
            "telephone_number": "337-369-3001",
            "fax_number": "337-639-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NIKYIA",
        "authorized_official_title_or_position": "CREDENTIALING SPEC.",
        "authorized_official_telephone_number": "337-475-3100"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710580",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ImCal BH Allen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imperial Calcasieu HSA Behavioral Health Allen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imperial Calcasieu HSA Behavioral Health Allen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.