The Extra Mile, Region IV, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE EXTRA MILE, REGION IV, INC.

Practice address

525 S Buchanan St
Lafayette, LA 70501-6815

Phone

(337) 237-2090

Fax

(337) 237-2083

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By 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

Ms. Linda C Boudreaux

Title

Executive Director

Phone

(337) 237-2090

Specialties & licenses 1

Addresses

Tax ID family

Meredith's Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Extra Mile, Region IV, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scott, LA
  • NPI 1154016475
  NPD tax ID

Practitioners 25

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.

• Paulette Marie Aaron, PEER SPECIALIST

  • Peer Specialist
  • Lafayette, LA
  • NPI 1154131423
  NPD (past)
• Jennifer Ball

  • Peer Specialist
  • Lafayette, LA
  • NPI 1962247387
  NPD (past)
• Rosie Berard

  • Case Manager/Care Coordinator
  • Lafayette, LA
  • NPI 1063031615
  NPD (past)
• Traci J Best, CIT, RFPSS, RPSS

  • Addiction (Substance Use Disorder) Counselor
  • Lafayette, LA
  • NPI 1376387522
  NPD (past)
• Evangeline Blanchard

  • Case Manager/Care Coordinator
  • Lafayette, LA
  • NPI 1750125225
  NPD (past)
• Hannah Boudreaux

  • Social Worker
  • Lafayette, LA
  • NPI 1114843364
  NPD (past)
• Lindsay Nicole Council Breaux, LMSW

  • Social Worker
  • Lafayette, LA
  • NPI 1679407175
  NPD (past)
• Karyn Kelley Brice

  • Case Manager/Care Coordinator
  • Lafayette, LA
  • NPI 1831678747
  NPD (past)
• Christy Lynn Cormier

  • Case Manager/Care Coordinator
  • Lafayette, LA
  • NPI 1184578544
  NPD (past)
• Joseph Patrick Damiens, LMSW

  • Social Worker
  • Lafayette, LA
  • NPI 1811418551
  NPD (past)
• Jan Horner, MS

  • Mental Health Counselor
  • Lafayette, LA
  • NPI 1568999878
  NPD (past)
• Jade Raven Jackson

  • Counselor
  • Lafayette, LA
  • NPI 1871423384
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1962777268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S BUCHANAN ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016815",
            "telephone_number": "337-237-2090",
            "fax_number": "337-237-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S BUCHANAN ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016815",
            "telephone_number": "337-237-2090",
            "fax_number": "337-237-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXTRA MILE, REGION IV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-237-2090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Burn Surgeons of Acadiana, LLC
• The Carpenter Center for Palliative Medicine of Lafayette, LLC
• The Community Group Home Health LLC (Community Home Health Care)
• The Counseling Center
• The Extra Mile
• The Family Connection Inc.
• The Family Tree Information, Education and Counseling Center
• The Ministry of Reconciliation, Inc
• The Mobile Assessment Team
• The Mobility Depot of Lafayette, LLC

• Community/Behavioral Health Agency in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.