Family Therapy Clinic of Louisiana, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAMILY THERAPY CLINIC OF LOUISIANA, LLC

Practice address

7738 Don Budge Ave
Baton Rouge, LA 70810-1710

Phone

(225) 292-0155

Fax

(844) 715-7911

NPI assigned

Jun 8, 2006

Last updated

Oct 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erich G Duchmann, PHD, MPNPI 1629039987

Title

Owner/Manager

Phone

(225) 292-0155

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 7

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.

• Erich G Duchmann, PHD, MP

  • Prescribing (Medical) Psychologist
  • Baton Rouge, LA
  • NPI 1629039987
  Medicare reassignment Care Compare group NPD Authorized official
• Brenda L. Durbin, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1821059155
  Medicare reassignment Care Compare group
• Adrian Anthony Agosta, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1508089293
  NPD (past)
• Logan G Foley, LPC

  • Professional Counselor
  • Baton Rouge, LA
  • NPI 1023132206
  NPD (past)
• Virginia Diane Garrett, PH.D.

  • Clinical Psychologist
  • Baton Rouge, LA
  • NPI 1881655595
  NPD (past)
• Kirsten Williams Schwehm, PH.D.

  • Clinical Neuropsychologist
  • Baton Rouge, LA
  • NPI 1720049083
  NPD (past)
• Catherine C. Scott, LCSW, LAC

  • Social Worker
  • Baton Rouge, LA
  • NPI 1013938539

  Clinical

  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1629018585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83980",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708843980",
            "telephone_number": "225-292-0155",
            "fax_number": "844-715-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7738 DON BUDGE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101710",
            "telephone_number": "225-292-0155",
            "fax_number": "844-715-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY CLINIC OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "DUCHMANN",
        "authorized_official_first_name": "ERICH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "225-292-0155",
        "authorized_official_credential": "PHD, MP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Service of Greater Baton Rouge
• Family Service of Greater Baton Rouge
• Family Service of Greater Baton Rouge
• Family Service of Greater Baton Rouge
• Family Solutions of Louisiana, Inc.
• Family Therapy Clinic, Inc.
• Famson Rehabilitation Company
• Ayodeji O Famuyide, M.ED, PT, FAAOMPT
• Crayton Fargason, M.D.
• David Fargason, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.