Eagles Wings Recovery

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

EAGLES WINGS RECOVERY

Practice address

208 Cole Ave Ste 6
Monroe, LA 71203-3814

Phone

(318) 450-7649

Fax

(866) 282-5030

NPI assigned

Mar 25, 2026

Last updated

Mar 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jamal Gipson, LPC LAC CCS AADCNPI 1295204667

Title

Owner/ Ceo

Phone

(318) 450-7649

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Jamal D Gipson

  • Professional Counselor
  • Monroe, LA
  • NPI 1295204667

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1700724093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLE AVE STE 6",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033814",
            "telephone_number": "318-450-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COLE AVE STE 6",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033814",
            "telephone_number": "318-450-7649",
            "fax_number": "866-282-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES WINGS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "GIPSON",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "318-450-7649",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC LAC CCS AADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.