NPIMap

Organization Active NPI

Boys and Girls Villages Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • Lake Charles, LA
National Provider Identifier
1578822177
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
8998 Issued in LA
Legal business name
BOYS AND GIRLS VILLAGES FOUNDATION
Practice address
7378 Highway 90 E
Lake Charles, LA 70615-4803
Phone
(337) 436-7553
Fax
(337) 436-8291
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Mr. Mayance Joseph Mathieu, Jr., LPCNPI 1699016428
Title
Executive Director
Phone
(337) 436-7553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 8998 LA Primary

Addresses

Primary practice location

7378 Highway 90 E
Lake Charles, LA 70615-4803

Mailing address

7378 Highway 90 E
Lake Charles, LA 70615-4803
Phone (337) 436-7553

National Provider Directory

National Provider Directory

Locations

7378 Highway 90 E
Lake Charles, LA 70615
Phone (337) 436-7553

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1578822177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7378 HIGHWAY 90 E",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154803",
            "telephone_number": "337-436-7553",
            "fax_number": "337-436-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7378 HIGHWAY 90 E",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154803",
            "telephone_number": "337-436-7553",
            "fax_number": "337-436-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS AND GIRLS VILLAGES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "MATHIEU,",
        "authorized_official_first_name": "MAYANCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-436-7553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "LA",
            "license": "8998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.