Active NPI
Ted F Pinkard, BS, LAC
- Addiction (Substance Use Disorder) Counselor
- Gonzales, LA
National Provider Identifier
1740399815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 707
- Practice address
- 1112 E Ascension Complex Blvd
Gonzales, LA 70737-4265 - Phone
- (225) 621-5775
- Fax
- (225) 644-2846
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 707 | LA | Primary |
Addresses
Primary practice location
1112 E Ascension Complex Blvd
Gonzales, LA 70737-4265
Mailing address
15110 La Highway 16
French Settlement, LA 70733-2508
Phone (225) 698-6395
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 707 | LA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740399815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15110 LA HIGHWAY 16",
"city": "FRENCH SETTLEMENT",
"state": "LA",
"postal_code": "707332508",
"telephone_number": "225-698-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 E ASCENSION COMPLEX BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374265",
"telephone_number": "225-621-5775",
"fax_number": "225-644-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKARD",
"first_name": "TED",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "BS, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.