Organization
Department of Health and Hospitals
Provider's NPPES record last updated: July 28, 2011
Overview
- Entity Type
- Organization
- NPI
- 1306800289
- Primary Specialty
- Family Medicine — Addiction Medicine
- Practice Location
- Pineville, Louisiana
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 9:17 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Taxonomy code 207QA0401X Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400XSocial Worker
Clinical
Behavioral Health & Social Service Providers
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Taxonomy code 1041C0700XRegistered Nurse
Addiction (Substance Use Disorder)
Nursing Service Providers
Definition to come...
Taxonomy code 163WA0400XLicensed Practical Nurse
Nursing Service Providers
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Taxonomy code 164W00000X
Provider-Reported License Information
- Family Medicine (Louisiana)
- MD 017125
- Counselor (Louisiana)
- LAC 592
- Counselor (Louisiana)
- LAC # 904
- Counselor (Louisiana)
- LAC #713
- Counselor (Louisiana)
- RAC #1340
- Counselor (Louisiana)
- CAC #1330
- Social Worker (Louisiana)
- RSW # 7478
- Social Worker (Louisiana)
- LMSW #4870
- Registered Nurse (Louisiana)
- RN #055444
- Licensed Practical Nurse (Louisiana)
- LPN # 850513
Practice Locations
Practice Location
242 West Shamrock
Unit 1
Pineville, Louisiana 71360
Phone: (318) 488-6846
Other Names
- Behavioral Health Clinic of Central La (Ad)Reported July 28, 2011
Record Information
- Enumeration Date
- April 17, 2006
- Provider's NPPES Record Last Updated
- July 28, 2011
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue