NPIMap

Organization Active NPI

Saint James Community Fresh Start Program Inc

  • Community/Behavioral Health Agency
  • Gramercy, LA
National Provider Identifier
1750556015
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAINT JAMES COMMUNITY FRESH START PROGRAM INC
Practice address
108 N Ezidore St
Gramercy, LA 70052-0850
Phone
(225) 623-9751
Fax
(225) 258-4109
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Bertha Mae Davis-Williams, PH.D., LPCNPI 1225308174
Title
Director/Ceo
Phone
(225) 623-9751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

108 N Ezidore St
Gramercy, LA 70052-0850

Mailing address

PO Box 850
Gramercy, LA 70052-0850
Phone (225) 623-9751

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1750556015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700520850",
            "telephone_number": "225-623-9751",
            "fax_number": "225-258-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N EZIDORE ST",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700520850",
            "telephone_number": "225-623-9751",
            "fax_number": "225-258-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JAMES COMMUNITY FRESH START PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS-WILLIAMS",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "225-623-9751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gramercy, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.