NPIMap

Organization Active NPI

Grief Recovery Center

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1972778512
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3453 Issued in LA
Legal business name
GRIEF RECOVERY CENTER
Practice address
4919 Jamestown Ave Ste 101
Baton Rouge, LA 70808-3228
Phone
(225) 924-6621
Fax
(225) 924-6627
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Kathy Vilas, MS
Title
Executive Director
Phone
(225) 924-6621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3453 LA Primary

Addresses

Primary practice location

4919 Jamestown Ave Ste 101
Baton Rouge, LA 70808-3228

Mailing address

4919 Jamestown Ave Ste 101
Baton Rouge, LA 70808-3228
Phone (225) 924-6621

National Provider Directory

National Provider Directory
Tax ID family
Grief Recovery Center2 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.

Locations

4919 Jamestown Ave
Ste 101
Baton Rouge, LA 70808
Phone (225) 924-6621

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1972778512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 JAMESTOWN AVE STE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083228",
            "telephone_number": "225-924-6621",
            "fax_number": "225-924-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 JAMESTOWN AVE STE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083228",
            "telephone_number": "225-924-6621",
            "fax_number": "225-924-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIEF RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "VILAS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-924-6621",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.