NPIMap

Organization Active NPI

Eastern Louisiana Mental Health

Doing business as New Iberia Mental Health Clinic

  • Mental Health Counselor
  • New Iberia, LA
National Provider Identifier
1578619904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1265 Issued in LA
Legal business name
EASTERN LOUISIANA MENTAL HEALTH
Doing business as
New Iberia Mental Health Clinic
Practice address
611 W Admiral Doyle Dr
New Iberia, LA 70560-6408
Phone
(337) 373-0002
Fax
(337) 373-0129
NPI assigned
Jan 26, 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
Mr. Robert O. Nugent, MSW
Title
Mental Health Center Manager a
Phone
(337) 373-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1265 LA Primary

Addresses

Primary practice location

611 W Admiral Doyle Dr
New Iberia, LA 70560-6408

Mailing address

611 W Admiral Doyle Dr
New Iberia, LA 70560-6408
Phone (337) 373-0002

Other names 1

  • NEW IBERIA MENTAL HEALTH CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastern Louisiana Mental Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578619904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W ADMIRAL DOYLE DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705606408",
            "telephone_number": "337-373-0002",
            "fax_number": "337-373-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W ADMIRAL DOYLE DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705606408",
            "telephone_number": "337-373-0002",
            "fax_number": "337-373-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN LOUISIANA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MENTAL HEALTH CENTER MANAGER A",
        "authorized_official_telephone_number": "337-373-0002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW IBERIA MENTAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Iberia, 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.