Individual provider Active NPI

Alfred Garrison Jr., LPC

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1710358023
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3257 Issued in LA
Practice address
1162 Oliver Rd
Monroe, LA 71201-5755
Phone
(318) 340-1535
Fax
(318) 340-1539
NPI assigned
Oct 13, 2015
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3257 LA Primary

Addresses

Primary practice location

1162 Oliver Rd
Monroe, LA 71201-5755

Mailing address

4951 Central Ave
Monroe, LA 71203-6156
Phone (318) 340-1535

Other practice location 1

4951 Central Ave
Monroe, LA 71203-6156
Phone (318) 340-1535

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

LicenseStateTypeSpecialty
3257LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1710358023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 CENTRAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036156",
            "telephone_number": "318-340-1535",
            "fax_number": "318-410-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 OLIVER RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015755",
            "telephone_number": "318-340-1535",
            "fax_number": "318-340-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712036156",
            "country_code": "US",
            "telephone_number": "318-340-1535",
            "fax_number": "318-340-1539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "ALFRED",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.