Active NPI
McCall Blank
- Counselor
- Denham Springs, LA
National Provider Identifier
1740632124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 30826 Linder Rd
Denham Springs, LA 70726-8507 - Phone
- (225) 665-7878
- NPI assigned
- Jul 8, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
30826 Linder Rd
Denham Springs, LA 70726-8507
Mailing address
37393 Overland TRL
Prairieville, LA 70769-4438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548839 | Medicaid | LA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Rehab Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denham Springs, LA
- NPI 1356493530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1740632124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37393 OVERLAND TRL",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707694438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30826 LINDER RD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707268507",
"telephone_number": "225-665-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "MCCALL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548839",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.