Active NPI
David Brocato, LAC, CCS
- Addiction (Substance Use Disorder) Counselor
- Pineville, LA
National Provider Identifier
1578937397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 789
- Practice address
- 401 West Shamrock
Pineville, LA 71361 - Phone
- (318) 441-5941
- NPI assigned
- Nov 17, 2015
- Last updated
- Nov 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 789 | LA | Primary |
Addresses
Primary practice location
401 West Shamrock
Pineville, LA 71361
Mailing address
PO Box 4582
Pineville, LA 71361-4582
Phone (318) 441-5941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 789 | LA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1578937397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4582",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713614582",
"telephone_number": "318-441-5941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WEST SHAMROCK",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71361",
"telephone_number": "318-441-5941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCATO",
"first_name": "DAVID",
"credential": "LAC, CCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.