Active NPI
Reeve Lewis III, RAC, PSS
- Case Manager/Care Coordinator
- Houma, LA
National Provider Identifier
1700593472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 235 Civic Center Blvd
Houma, LA 70360-5937 - Phone
- (985) 333-2020
- NPI assigned
- Nov 2, 2022
- Last updated
- Aug 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1558 | LA | |
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
235 Civic Center Blvd
Houma, LA 70360-5937
Mailing address
235 Civic Center Blvd
Houma, LA 70360-5937
Phone (985) 333-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558 | Other | LA | REGISTERED ADDICTION COUNSELOR |
| OBHPSS1048 | Other | LA | LOUISIANA OFFICE OF BEHAVIORAL HEALTH - PEER SUPPORT SPECIALIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1558 | LA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1700593472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 CIVIC CENTER BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703605937",
"telephone_number": "985-333-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 CIVIC CENTER BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703605937",
"telephone_number": "985-333-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "REEVE",
"name_suffix": "III",
"credential": "RAC, PSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-02",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "1558",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED ADDICTION COUNSELOR",
"identifier": "1558",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA OFFICE OF BEHAVIORAL HEALTH - PEER SUPPORT SPECIALIST",
"identifier": "OBHPSS1048",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.