NPIMap

Organization Active NPI

Kiddos Therapy Konnection LLC

  • Physical Disabilities Residential Treatment Facility
  • Lake Charles, LA
National Provider Identifier
1871141986
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
KIDDOS THERAPY KONNECTION LLC
Practice address
814 W McNeese St # 241
Lake Charles, LA 70605-5426
Phone
(337) 502-9533
NPI assigned
Sep 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Authorized official

Name
Charlie Cochran Jr.NPI 1396110680
Title
Owner
Phone
(337) 502-9533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Physical Disabilities Residential Treatment Facility 320700000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

814 W McNeese St # 241
Lake Charles, LA 70605-5426

Mailing address

814 W McNeese St # 241
Lake Charles, LA 70605-5426

National Provider Directory

National Provider Directory

Locations

814 W McNeese St
#241
Lake Charles, LA 70605
Phone (337) 502-9533

Practitioners & affiliated clinicians

Practitioners 1

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": "1567296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567296000000",
    "number": "1871141986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W MCNEESE ST # 241",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W MCNEESE ST # 241",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055426",
            "telephone_number": "337-502-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDOS THERAPY KONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-502-9533",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.