Organization Active NPI

C & C Counseling Associates, LLC

  • Clinical Social Worker
  • Hammond, LA
National Provider Identifier
1831508126
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4170 Issued in LA
Legal business name
C & C COUNSELING ASSOCIATES, LLC
Practice address
1000 N. Morrison Blvd.
Ste. G
Hammond, LA 70401
Phone
(985) 542-6996
Fax
(985) 542-6990
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Mrs. Cheryll Anne Sullenberger, LCSW
Title
Owner/Manager
Phone
(985) 542-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4170 LA Primary

Addresses

Primary practice location

1000 N. Morrison Blvd.
Ste. G
Hammond, LA 70401

Mailing address

1000 N. Morrison Blvd.
Ste. G
Hammond, LA 70401

National Provider Directory

National Provider Directory

Locations

1000 N Morrison Blvd
Ste G
Hammond, LA 70401
Phone (985) 542-6996

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1831508126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N. MORRISON BLVD.",
            "address_2": "STE. G",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N. MORRISON BLVD.",
            "address_2": "STE. G",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70401",
            "telephone_number": "985-542-6996",
            "fax_number": "985-542-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "SULLENBERGER",
        "authorized_official_first_name": "CHERYLL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "985-542-6996",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.