Organization Active NPI

Genesis of New Iberia Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Iberia, LA
National Provider Identifier
1801892716
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1118991 Issued in LA
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

Updated by the provider on Jul 14, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1118991MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.