Organization Active NPI

Anchored in Wellness, LLC

  • Community/Behavioral Health Agency
  • Terrytown, LA
National Provider Identifier
1740645266
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
9535 Issued in LA
Legal business name
ANCHORED IN WELLNESS, LLC
Practice address
1799 Stumpf Blvd
BLDG 7 Ste 10
Terrytown, LA 70056-3950
Phone
(504) 266-2522
Fax
(504) 308-1400
NPI assigned
Dec 29, 2015
Last updated
Dec 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Mrs. Jasmine B Berfect-Gillis, LMSW
Title
Manager
Phone
(504) 249-2239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 9535 LA Primary

Addresses

Primary practice location

1799 Stumpf Blvd
BLDG 7 Ste 10
Terrytown, LA 70056-3950

Mailing address

1799 Stumpf Blvd BLDG. 7 Ste. 10
Gretna, LA 70056
Phone (504) 266-2522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1740645266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD BLDG. 7 STE. 10",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-266-2522",
            "fax_number": "504-308-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BLDG 7 STE 10",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-266-2522",
            "fax_number": "504-308-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED IN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "BERFECT-GILLIS",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-249-2239",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "9535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.