NPIMap

Organization Active NPI

Odyssey House Louisiana, Inc

  • Substance Abuse Rehabilitation Facility
  • New Orleans, LA
National Provider Identifier
1588065569
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
050 Issued in LA
Legal business name
ODYSSEY HOUSE LOUISIANA, INC
Practice address
2438 Governor Nicholls St
New Orleans, LA 70119-3447
Phone
(504) 821-9211
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Mr. Edward C. Carlson, MFT
Title
Ceo
Phone
(504) 821-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 050 LA Primary

Addresses

Primary practice location

2438 Governor Nicholls St
New Orleans, LA 70119-3447

Mailing address

1125 North Tonti Street
New Orleans, LA 70119
Phone (504) 821-9211

National Provider Directory

National Provider Directory
Tax ID family
Odyssey House Louisiana Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1588065569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NORTH TONTI STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-821-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 GOVERNOR NICHOLLS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193447",
            "telephone_number": "504-821-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE LOUISIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2023-06-02",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-821-9211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.