NPIMap

Organization Active NPI

Department of Health and Hospitals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, LA
National Provider Identifier
1720133978
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
120 Issued in LA
Legal business name
DEPARTMENT OF HEALTH AND HOSPITALS
Practice address
5159 Highway 4 E
Columbia, LA 71418-3580
Phone
(318) 649-2333
Fax
(318) 362-3268
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mark Debord, LCSW
Title
Regional Administrat
Phone
(318) 362-3270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 369 LA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 120 LA Primary

Addresses

Primary practice location

5159 Highway 4 E
Columbia, LA 71418-3580

Mailing address

2513 Ferrand Street
Monroe, LA 71201
Phone (318) 362-3270

Other identifiers 1

IdentifierTypeStateIssuer
1710695MedicaidLA

Other names 1

  • Winnsboro/Columbia Behavioral Health Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1720133978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 FERRAND STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-362-3270",
            "fax_number": "318-362-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 HIGHWAY 4 E",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183580",
            "telephone_number": "318-649-2333",
            "fax_number": "318-362-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRAT",
        "authorized_official_telephone_number": "318-362-3270",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "369",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710695",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winnsboro/Columbia Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.