NPIMap

Organization Active NPI

Success Counseling Services North Dba Success Insite

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bossier City, LA
National Provider Identifier
1699780122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SUCCESS COUNSELING SERVICES NORTH DBA SUCCESS INSITE
Practice address
1504 Barksdale Blvd
Bossier City, LA 71111-4602
Phone
(318) 222-4299
Fax
(318) 425-2696
NPI assigned
Jul 31, 2006
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
Ms. Donnalee Ammons
Title
Director
Phone
(318) 222-4299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1504 Barksdale Blvd
Bossier City, LA 71111-4602

Mailing address

1504 Barksdale Blvd
Bossier City, LA 71111-4602
Phone (318) 222-4299

Other identifiers 1

IdentifierTypeStateIssuer
1677574MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Success Counseling Services North Dba Success Insite2 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.

Locations

1504 Barksdale Blvd
Bossier City, LA 71111
Phone (318) 222-4299

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699780122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BARKSDALE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114602",
            "telephone_number": "318-222-4299",
            "fax_number": "318-425-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BARKSDALE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114602",
            "telephone_number": "318-222-4299",
            "fax_number": "318-425-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS COUNSELING SERVICES NORTH DBA SUCCESS INSITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "DONNALEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-222-4299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1677574",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, 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.