Bellaire Baptist Church

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4019 Issued in LA

Legal business name

BELLAIRE BAPTIST CHURCH

Practice address

4330 Panther Dr
Bossier City, LA 71112-4234

Phone

(318) 698-1604

Fax

(318) 746-5435

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Johnson, LPCNPI 1194054114

Title

Counselor

Phone

(318) 698-1604

Specialties & licenses 1

Addresses

Other names 1

• bellaire counseling center Other name

Practitioners 3

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

• Karen Johnson, LPC

  • Professional Counselor
  • Bossier City, LA
  • NPI 1194054114
  NPD (past) Authorized official
• Camelita Alexander

  • Professional Counselor
  • Bossier City, LA
  • NPI 1588153027
  NPD (past)
• Michelle D. Mitchell, LPC-S

  • Professional Counselor
  • Bossier City, LA
  • NPI 1487936225
  NPD (past)

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1992035729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 PANTHER DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124234",
            "telephone_number": "318-698-1604",
            "fax_number": "318-746-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 PANTHER DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124234",
            "telephone_number": "318-698-1604",
            "fax_number": "318-746-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE BAPTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "318-698-1604",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bellaire counseling center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Latonzia Beavers
• Behavioral Health Clinic LLC
• Alexis Bell
• Latoya Bell
• Sequana Bell
• Claire McMillan Bellew
• Demetris Belton
• Beltone Hearing Aid Center
• Victoria Bender
• Kaylon Marie Benjamin

• Professional Counselor in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.