Active NPI
Genesis of New Iberia Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Iberia, LA
National Provider Identifier
1801892716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 1118991
- Legal business name
- GENESIS OF NEW IBERIA INC.
- Practice address
- 224 N Lewis St
New Iberia, LA 70563-2841 - Phone
- (337) 237-4673
- Fax
- (337) 237-4674
- NPI assigned
- Jun 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Will J Arledge
- Title
- Cfo
- Phone
- (337) 237-4673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 1118991 | LA | Primary |
Addresses
Primary practice location
224 N Lewis St
New Iberia, LA 70563-2841
Mailing address
847 Stewart St
Lafayette, LA 70501-8539
Phone (337) 237-4673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1118991 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
224 N Lewis St
#B
New Iberia, LA 70563
Phone (337) 367-4673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1801892716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 STEWART ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705018539",
"telephone_number": "337-237-4673",
"fax_number": "337-237-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 N LEWIS ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632841",
"telephone_number": "337-237-4673",
"fax_number": "337-237-4674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS OF NEW IBERIA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-24",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "ARLEDGE",
"authorized_official_first_name": "WILL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "337-237-4673"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "LA",
"license": "1118991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1118991",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.