Organization Active NPI

Behavioral Health Center

  • Community/Behavioral Health Agency
  • Oakdale, LA
National Provider Identifier
1649483629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1625141 Issued in LA
Legal business name
BEHAVIORAL HEALTH CENTER
Practice address
119 N. 13TH Street
Oakdale, LA 71463
Phone
(318) 335-3390
Fax
(318) 335-2907
NPI assigned
May 7, 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
Mrs. Phaetra Kafunya Raney-Semien, LCSW
Title
Director
Phone
(318) 335-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1625141 LA Primary

Addresses

Primary practice location

119 N. 13TH Street
Oakdale, LA 71463

Mailing address

119 N. 13TH Street
Oakdale, LA 71463
Phone (318) 335-3390

Other identifiers 1

IdentifierTypeStateIssuer
1625141MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649483629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N. 13TH STREET",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "71463",
            "telephone_number": "318-335-3390",
            "fax_number": "318-335-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N. 13TH STREET",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "71463",
            "telephone_number": "318-335-3390",
            "fax_number": "318-335-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANEY-SEMIEN",
        "authorized_official_first_name": "PHAETRA",
        "authorized_official_middle_name": "KAFUNYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-335-3390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "1625141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, 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.