Patricia Riley McEacharn

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4070 Issued in LA

Practice address

161 Coumeaux Rd
Rayville, LA 71269

Phone

(318) 267-1687

Fax

(318) 303-5993

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Second Chances Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Rayville, LA
  • NPI 1073122420
  NPD Authorized official

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1760089106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 COUMEAUX RD",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "71269",
            "telephone_number": "318-267-1687",
            "fax_number": "318-303-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 COUMEAUX RD",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "71269",
            "telephone_number": "318-267-1687",
            "fax_number": "318-303-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHARN",
        "first_name": "PATRICIA",
        "middle_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "4070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://scarc11494.kipuworks.com/",
            "affiliation": "N",
            "endpointDescription": "EMR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "161 Coumeaux Rd",
            "city": "Rayville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donnesha Martin
• Gordon B. Massengale III, M.D.
• Steven Joseph Maybery, LAC, NCC
• Joseph Mazzanti
• Michael E McCormick, M.D.
• Margaret Marie Meredith, O.T.
• Edward Joseph Michael
• Christopher Paul Middleton, OTR/L
• Catherine Miller
• Gwendolynn Minvielle

• Addiction (Substance Use Disorder) Counselor in Rayville, LA
• Providers in Rayville, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.