The Family Practice at Northshore Counseling and Wellness, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE FAMILY PRACTICE AT NORTHSHORE COUNSELING AND WELLNESS, LLC

Practice address

201 Holiday Blvd
Suite 120
Covington, LA 70433-5088

Phone

(985) 624-2942

Fax

(985) 231-1373

NPI assigned

Nov 11, 2016

Last updated

Nov 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andre Judice, PH.D.NPI 1588623458

Title

Owner

Phone

(985) 624-2942

Specialties & licenses 1

Addresses

Practitioners 7

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.

• Andre Sagrera Judice, PHD

  • Mental Health Counselor
  • Covington, LA
  • NPI 1588623458
  NPD (past) Authorized official
• Samonica Brown

  • Professional Counselor
  • Covington, LA
  • NPI 1487027918
  NPD (past)
• Peter Brian Crapanzano, M.D.

  • Psychiatry Physician
  • Covington, LA
  • NPI 1922276740
  NPD (past)
• Emily Holland, LPC

  • Counselor
  • Covington, LA
  • NPI 1518458116
  NPD (past)
• Celeste Marie Lewis, APRN/APMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
  • NPI 1265790380
  NPD (past)
• Lawrence W Schwarz III, LCSW

  • Clinical Social Worker
  • Covington, LA
  • NPI 1548665979
  NPD (past)
• Leah Steele, LCSW

  • Social Worker
  • Covington, LA
  • NPI 1053327452
  NPD (past)

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1932641669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HOLIDAY BLVD",
            "address_2": "SUITE 120",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335088",
            "telephone_number": "985-624-2942",
            "fax_number": "985-231-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOLIDAY BLVD",
            "address_2": "SUITE 120",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335088",
            "telephone_number": "985-624-2942",
            "fax_number": "985-231-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY PRACTICE AT NORTHSHORE COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "JUDICE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-624-2942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Terry
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• The Dermatology Clinic of St Tammany II, LLC (Grieshaber Dermatology)
• The Foodbank of Covington, Louisiana, Inc. (All Saints Dental Clinic)
• The Great Atlantic and Pacific Tea Company Inc (Sav a Center Pharmacy)
• The Movement Science Center
• The Natural Birthhouse - Northshore
• The Natural Birthhouse - Northshore

• Primary Care Clinic/Center in Covington, LA
• Providers in Covington, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.