NPIMap

Organization Active NPI

La Paz, LLC

  • Mental Health Counselor
  • Ruston, LA
National Provider Identifier
1760079982
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LA PAZ, LLC
Practice address
1404 S. Vienna St
Ruston, LA 71270
Phone
(318) 224-9200
Fax
(318) 224-9201
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Lakysha Starks- Sampson
Title
Executive Director
Phone
(318) 224-9200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X

Addresses

Primary practice location

1404 S. Vienna St
Ruston, LA 71270

Mailing address

1404 S Vienna St
Ruston, LA 71270-6428
Phone (318) 224-9200

Other names 3

  • LaPaz LLC Former legal business name
  • La Paz ,LLC Former legal business name
  • La Paz, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
La Paz LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1760079982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706428",
            "telephone_number": "318-224-9200",
            "fax_number": "318-224-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S. VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "71270",
            "telephone_number": "318-224-9200",
            "fax_number": "318-224-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "STARKS- SAMPSON",
        "authorized_official_first_name": "LAKYSHA",
        "authorized_official_title_or_position": "EXECUTIVE  DIRECTOR",
        "authorized_official_telephone_number": "318-224-9200"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaPaz LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Paz ,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "La Paz, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LaPaz LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.