St. John the Baptist, Human Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PCA 8037 Issued in LA

Legal business name

ST. JOHN THE BAPTIST, HUMAN SERVICES, INC.

Practice address

7732 Goodwood Blvd
Suite a-1
Baton Rouge, LA 70806-7626

Phone

(225) 216-1199

Fax

(225) 216-1194

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Waguespack Mills, LCSW

Title

Ceo

Phone

(225) 216-1199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689790909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 GOODWOOD BLVD",
            "address_2": "SUITE A-1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067626",
            "telephone_number": "225-216-1199",
            "fax_number": "225-216-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7732 GOODWOOD BLVD",
            "address_2": "SUITE A-1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067626",
            "telephone_number": "225-216-1199",
            "fax_number": "225-216-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN THE BAPTIST, HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "WAGUESPACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-216-1199",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "PCA 8037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1663921",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.