NPIMap

Organization Active NPI

Northeast Delta Human Services Authority

Doing business as Monroe Behavioral Health Child & Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
National Provider Identifier
1972223659
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Doing business as
Monroe Behavioral Health Child & Family Services
Practice address
2525 Ferrand St
Monroe, LA 71201-3210
Phone
(318) 362-3153
Fax
(318) 362-3159
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Octavia Green
Title
Administrative Program Specialist B
Phone
(318) 362-3270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2525 Ferrand St
Monroe, LA 71201-3210

Mailing address

2513 Ferrand St
Monroe, LA 71201-3210
Phone (318) 362-3270

Other names 1

  • Monroe Behavioral Health Child & Family Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150121001268 LA Part B Supplier - Clinic/Group Practice 2961726005 Receives reassigned benefits from 29 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tallulah, LA; Winnsboro, LA; Ruston, LA; Monroe, LA; Columbia, LA; Bastrop, LA

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Northeast Delta Human Services Authority14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Violet Lee
    • Professional Counselor
    • Monroe, LA
    • NPI 1083114805
    NPD

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1972223659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 FERRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013210",
            "telephone_number": "318-362-3270",
            "fax_number": "318-362-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 FERRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013210",
            "telephone_number": "318-362-3153",
            "fax_number": "318-362-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST DELTA HUMAN SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE PROGRAM SPECIALIST B",
        "authorized_official_telephone_number": "318-362-3270"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Behavioral Health Child & Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Behavioral Health Child & Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.