NPIMap

Organization Active NPI

Jamestown Avenue Counseling Center

  • Social Worker
  • Baton Rouge, LA
National Provider Identifier
1780973628
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5837 Issued in LA
Legal business name
JAMESTOWN AVENUE COUNSELING CENTER
Practice address
4637 Jamestown Ave
Baton Rouge, LA 70808-3235
Phone
(225) 924-3000
Fax
(225) 924-3030
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Mandy Stroud
Title
Office Manager
Phone
(225) 924-3000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1435 LA
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 5837 LA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 425 LA

Addresses

Primary practice location

4637 Jamestown Ave
Baton Rouge, LA 70808-3235

Mailing address

4637 Jamestown Ave
Baton Rouge, LA 70808-3235
Phone (225) 924-3000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1780973628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 JAMESTOWN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083235",
            "telephone_number": "225-924-3000",
            "fax_number": "225-924-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 JAMESTOWN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083235",
            "telephone_number": "225-924-3000",
            "fax_number": "225-924-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN AVENUE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-924-3000"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1435",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "LA",
            "license": "5837",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.