Active NPI
Lakeisha Andrea Green
- Case Manager/Care Coordinator
- New Orleans, LA
National Provider Identifier
1780118158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3901 Ulloa St
New Orleans, LA 70119-6942 - Phone
- (504) 267-5712
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3901 Ulloa St
New Orleans, LA 70119-6942
Mailing address
5121 Carlisle CT
New Orleans, LA 70131-7231
Phone (504) 432-6165
Other practice location 1
824 Elmwood Park Blvd Ste 150
#150
New Orleans, LA 70123-3347
Phone (504) 733-0009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce Professional Counseling Services, LLC | Past | Accepting new patients | |
| Bruce Professional Counseling Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Harahan, LA
- NPI 1912379199
-
- Community/Behavioral Health Agency
- Harahan, LA
- NPI 1477956126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1780118158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 CARLISLE CT",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701317231",
"telephone_number": "504-432-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 ULLOA ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196942",
"telephone_number": "504-267-5712"
}
],
"practiceLocations": [
{
"address_1": "824 Elmwood Park Blvd Ste 150",
"address_2": "#150",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701233347",
"country_code": "US",
"telephone_number": "504-733-0009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "LAKEISHA",
"middle_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.