Council on Alcoholism and Drug Abuse of Northwest Louisiana

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

Practice address

2000 Fairfield Ave
Shreveport, LA 71104-2002

Phone

(318) 222-8511

Fax

(318) 222-3273

NPI assigned

Jan 28, 2016

Organization subpart

Yes

Parent organization

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANAAs reported in NPPES

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

Authorized official

Name

Janet Miller Jr.

Title

Executive Director

Phone

(318) 222-8511

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CADA Addiction Recovery Clinic Doing business as

Tax ID family

Council on Alcoholism and Drug Abuse of Northwest Louisiana3 organizations share this tax ID, including this one

Part of

Council on Alcoholism and Drug Abuse of Northwest Louisiana

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Council on Alcoholism and Drug Abuse of Northwest Louisiana

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
  • NPI 1699955815
  NPD tax ID
• Council on Alcoholism and Drug Abuse of Northwest Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1902643455
  NPD tax ID

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1891152328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042002",
            "telephone_number": "318-222-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042002",
            "telephone_number": "318-222-8511",
            "fax_number": "318-222-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA",
        "enumeration_date": "2016-01-28",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-222-8511",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "276",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "276",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3571455",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CADA Addiction Recovery Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Council for Advancement of Social Service and Education
• Council for Advancement of Social Service and Education
• Council for Advancement of Social Service and Education
• Council for Advancement of Social Service and Education
• Council on Alcoholism and Drug Abuse of Northwest Louisiana
• Council on Alcoholism and Drug Abuse of Northwest Louisiana
• Counseling & Evaluation Services, Inc.
• Lawrence Dwayne Counts, MD
• Jenness Doniphan Courtney III, MD
• Crystal Coutee, LPC

• Substance Use Disorder Rehabilitation Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.