Individual provider Active NPI

Patrick Steward, M.A.C.,III

  • Addiction (Substance Use Disorder) Counselor
  • Lake Charles, LA
National Provider Identifier
1912303454
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
63703 Issued in LA
Practice address
1 Lakeshore Dr Ste 1640E
Lake Charles, LA 70629-0100
Phone
(337) 794-5351
Fax
(337) 433-4894
NPI assigned
Nov 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 63703 LA Primary

Addresses

Primary practice location

1 Lakeshore Dr Ste 1640E
Lake Charles, LA 70629-0100

Mailing address

1 Lakeshore Dr Ste 1640E
Lake Charles, LA 70629-0100
Phone (337) 794-5351

Other names 1

  • Mr. Patrick Steward Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63703LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Community Outreach Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1912303454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DR STE 1640E",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706290100",
            "telephone_number": "337-794-5351",
            "fax_number": "337-433-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DR STE 1640E",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706290100",
            "telephone_number": "337-794-5351",
            "fax_number": "337-433-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "M.A.C.,III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "63703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "STEWARD",
            "prefix": "MR.",
            "credential": "M.A.C.,III",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 11, 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.