Organization Active NPI

At & TC Consultation Services, PLLC

  • Psychiatry Physician
  • Bastrop, LA
National Provider Identifier
1699369991
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AT & TC CONSULTATION SERVICES, PLLC
Practice address
4673 Eugene Ware Blvd
Bastrop, LA 71220-1425
Phone
(318) 281-2448
Fax
(318) 281-5445
NPI assigned
Feb 26, 2021
Last updated
Feb 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Althea Conley, MDNPI 1114995198
Title
Incorporator/Organizer
Phone
(318) 281-2448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4673 Eugene Ware Blvd
Bastrop, LA 71220-1425

Mailing address

410 S Franklin St
Bastrop, LA 71220-4533
Phone (318) 281-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026002941 AR Part B Supplier - Clinic/Group Practice 3779991088 Receives reassigned benefits from 1 practitioner
Practice locations: El Dorado, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1699369991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204533",
            "telephone_number": "318-281-2448",
            "fax_number": "318-281-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4673 EUGENE WARE BLVD",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712201425",
            "telephone_number": "318-281-2448",
            "fax_number": "318-281-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT & TC CONSULTATION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_title_or_position": "INCORPORATOR/ORGANIZER",
        "authorized_official_telephone_number": "318-281-2448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

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