Organization Active NPI

Therapeutic Counseling Clinic, Inc.

  • Community/Behavioral Health Agency
  • Bogalusa, LA
National Provider Identifier
1740379262
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THERAPEUTIC COUNSELING CLINIC, INC.
Practice address
542 S Columbia St
Bogalusa, LA 70427-4720
Phone
(985) 735-9448
Fax
(985) 735-8097
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Mr. Wendell Fornea
Title
Administrator/Cfo
Phone
(984) 735-9448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

542 S Columbia St
Bogalusa, LA 70427-4720

Mailing address

542 S Columbia St
Bogalusa, LA 70427-4720
Phone (985) 735-9448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1740379262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274720",
            "telephone_number": "985-735-9448",
            "fax_number": "985-735-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274720",
            "telephone_number": "985-735-9448",
            "fax_number": "985-735-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC COUNSELING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "FORNEA",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "984-735-9448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.