NPIMap

Organization Active NPI

Minden Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Minden, LA
National Provider Identifier
1689916876
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
726011595 Issued in LA
Legal business name
MINDEN BEHAVIORAL HEALTH CLINIC
Practice address
435 Homer Rd
Minden, LA 71055-2933
Phone
(318) 371-3001
Fax
(318) 371-3300
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Mrs. Bonnie Davis, LMSWNPI 1023260379
Title
MHC Program Manager
Phone
(318) 371-3001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 726011595 LA Primary

Addresses

Primary practice location

435 Homer Rd
Minden, LA 71055-2933

Mailing address

435 Homer Rd
Minden, LA 71055-2933
Phone (318) 371-3001

National Provider Directory

National Provider Directory
Tax ID family
Minden Behavioral Health Clinic2 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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1689916876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552933",
            "telephone_number": "318-371-3001",
            "fax_number": "318-371-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552933",
            "telephone_number": "318-371-3001",
            "fax_number": "318-371-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN BEHAVIORAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "MHC PROGRAM MANAGER",
        "authorized_official_telephone_number": "318-371-3001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "726011595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.