NPIMap

Organization Active NPI

Jefferson Parish Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marrero, LA
National Provider Identifier
1821039983
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JEFFERSON PARISH HUMAN SERVICES AUTHORITY
Practice address
5001 Westbank Expy Ste 200
Marrero, LA 70072-2954
Phone
(504) 349-3740
Fax
(504) 838-5714
NPI assigned
Jun 9, 2006
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Rosanna Dichiro Derbes, PSY.D
Title
Executive Director
Phone
(504) 838-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5001 Westbank Expy Ste 200
Marrero, LA 70072-2954

Mailing address

3616 S I 10 Service Rd W
Suite 200
Metairie, LA 70001-1874
Phone (504) 838-5215

Other names 1

  • Jefferson Parish Human Services Authority (Eunoia Center) Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050825000122 LA Part B Supplier - Clinic/Group Practice 7517953813 Receives reassigned benefits from 2 practitioners
Practice locations: Marrero, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jphsa-Elmwood2 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.

Locations

5001 Westbank Expy
Ste 200
Marrero, LA 70072
Phone (504) 332-7777

3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jeffcare West JeffersonMarrero, LA, CCN 191923 Federally qualified health center Operational/Managerial Control (100%) Nov 1, 2013
Jeffcare East JeffersonMetairie, LA, CCN 191929 Federally qualified health center Operational/Managerial Control (100%) Nov 1, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Jeffcare

    dba JeffCare West Jefferson

    • Federally Qualified Health Center (FQHC)
    • Marrero, LA
    • NPI 1154747327

    Operational/Managerial Control

    CMS ownership
  • Jeffcare

    dba JeffCare East Jefferson

    • Federally Qualified Health Center (FQHC)
    • Metairie, LA
    • NPI 1518383785

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1821039983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 S I 10 SERVICE RD W",
            "address_2": "SUITE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011874",
            "telephone_number": "504-838-5215",
            "fax_number": "504-838-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 WESTBANK EXPY STE 200",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722954",
            "telephone_number": "504-349-3740",
            "fax_number": "504-838-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PARISH HUMAN SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "DICHIRO DERBES",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-838-5215",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Parish Human Services Authority (Eunoia Center)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.