NPIMap

Organization Active NPI

Hco Behavioral Health Services

Doing business as Empower Recovery Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
National Provider Identifier
1821792912
Registry record updated Jul 19, 2023
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
HCO BEHAVIORAL HEALTH SERVICES
Doing business as
Empower Recovery Center
Practice address
11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Phone
(225) 261-7143
Fax
(225) 250-1026
NPI assigned
Mar 30, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HCO BEHAVIORAL HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Courtney Wallace
Title
President
Phone
(225) 261-7143

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421

Mailing address

11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Phone (225) 261-7143

Other practice location 1

2255 S Burnside Ave
Gonzales, LA 70737-4642
Phone (225) 261-7143

Other practice location 2

128 Demanade Blvd Ste 201
Lafayette, LA 70503-2567
Phone (225) 261-7143

Other identifiers 3

IdentifierTypeStateIssuer
3777631MedicaidLA
3777649MedicaidLA
3777614MedicaidLA

Other names 1

  • Empower Recovery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212003379 LA Part B Supplier - Clinic/Group Practice 0244689552 Receives reassigned benefits from 5 practitioners
Practice locations: Baton Rouge, LA; Lafayette, LA

National Provider Directory

National Provider Directory
Part of
Hco Behavioral Health Services

Locations

11616 Southfork Ave
Ste 403
Baton Rouge, LA 70816
Phone (225) 261-7143

128 Demanade Blvd
Ste 105
Lafayette, LA 70503
Phone (225) 261-7143

Practitioners & affiliated clinicians

Practitioners 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1821792912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 S Burnside Ave",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707374642",
            "country_code": "US",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Demanade Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032567",
            "country_code": "US",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HCO BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HCO BEHAVIORAL HEALTH SERVICES, LLC",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-261-7143"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3777631",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3777649",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3777614",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.