NPIMap

Organization Active NPI

Jennings Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Sulphur, LA
National Provider Identifier
1760644751
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP 05359 Issued in LA
Legal business name
JENNINGS BEHAVIORAL HEALTH
Practice address
110 E Darbonne St
Ste. E
Sulphur, LA 70663-4958
Phone
(337) 527-7878
Fax
(337) 527-7880
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Stacy Gaudet
Title
Billing MGR
Phone
(337) 527-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X AP 05359 LA Primary

Addresses

Primary practice location

110 E Darbonne St
Ste. E
Sulphur, LA 70663-4958

Mailing address

110 E Darbonne St
Ste E
Sulphur, LA 70663-4958
Phone (337) 527-7878

Other names 1

  • JBH Sulphur Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JBH Sulphur Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1760644751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E DARBONNE ST",
            "address_2": "STE E",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634958",
            "telephone_number": "337-527-7878",
            "fax_number": "337-527-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E DARBONNE ST",
            "address_2": "STE. E",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634958",
            "telephone_number": "337-527-7878",
            "fax_number": "337-527-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GAUDET",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "337-527-7878"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP 05359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JBH Sulphur Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.