SUPPORTED EMPLOYMENT PROVIDER – NPI #1124248042
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

SUPPORTED EMPLOYMENT PROVIDER is an agency located in COLUMBIA, LA. NPPES has assigned the NPI number 1124248042 to SUPPORTED EMPLOYMENT PROVIDER on April 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUPPORTED EMPLOYMENT PROVIDER” is a dba name, the actual legal business name for this organization is COLUMBIA DEVELOPMENTAL CENTER. The primary taxonomy selected by this provider is 251S00000X from the Health Care Provider Taxonomy code set, which is classified as Community/Behavioral Health.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUPPORTED EMPLOYMENT PROVIDER below.

NPI Profile for
COLUMBIA DEVELOPMENTAL CENTER

NPI Number
1124248042
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLUMBIA DEVELOPMENTAL CENTER
Doing Business As (dba): SUPPORTED EMPLOYMENT PROVIDER
Primary location
132 HIGHWAY 850
COLUMBIA, LA 71418-1559
Phone: (318) 649-6097 Fax: (318) 649-2868
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL HARRELL
REGIONAL ASSOCIATE ADMINISTRATOR
Phone: (318) 649-6097
Updated
Identifiers

Identifiers for SUPPORTED EMPLOYMENT PROVIDER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1165077
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251S00000X
- Community/Behavioral Health (Primary)
LA 2311

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.