RUSTON BEHAVIORAL HEALTH CLINIC
NPI 1033541230
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ruston, LA

Active since July 30, 2013CLIA 19D1074431 · Waiver
901 WHITE ST, RUSTON, LA 71270(318) 251-4125(318) 251-5000 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2022, Feb 18, 2022, Nov 29, 2017 and 1 more (4 updates tracked since 2016).

About Ruston Behavioral Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSTON BEHAVIORAL HEALTH CLINIC (NPI 1033541230) is a healthcare organization registered as a mental health (including community mental health center) in Ruston, Louisiana and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Octavia Green, Administrative Program Specialist B, as its authorized official.

NPPES Registry Identity

NPI1033541230
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTHEAST DELTA HUMAN SERVICES AUTHORITY
Location Address901 WHITE STRuston, LA 71270-5960
Mailing Address901 White StRuston, LA 71270-5960 · (318) 251-4125 · Fax (318) 251-5000
Fax(318) 251-5000
Organization SubpartNo
Authorized OfficialOctavia GreenAdministrative Program Specialist B · (318) 362-3270
Enumeration DateJuly 30, 2013
Last NPPES UpdateMarch 20, 20244 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1033541230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
901 WHITE ST, Ruston, LA 71270

Other Names 1

Doing Business AsRuston Behavioral Health Clinic

Other Identifiers 2

Medicaid1710342LA
Other2203785977LA · State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruston Behavioral Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Ruston Behavioral Health Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor13
Clinical Social Worker5
Nurse Practitioner4
Psychiatry4
Clinical Psychologist2

Nearest to this location (20)

See all 28
Nurse Practitioner
NPI 1407363880
128 RIDGEDALE DR
West Monroe, LA 71291
(318) 329-4419
✔ PECOS✔ Accepts Medicare28 mi
Clinical Social Worker
NPI 1083066633
1416 NATCHITOCHES ST
West Monroe, LA 71292
(318) 855-8773
✔ PECOS29 mi
Mental Health Counselor
NPI 1720396328
600 FORSYTHE AVE C/O GUIDANCE OFFICE
Monroe, LA 71201
(318) 323-2237
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1184811960
984 JACKSON STREET
Monroe, LA 71202
(318) 330-7300
✔ PECOS✔ Accepts Medicare31 mi
Clinical Social Worker
NPI 1295747269
4781 S GRAND ST
Monroe, LA 71202
(318) 362-5430
✔ PECOS✔ Accepts Medicare31 mi
Mental Health Counselor
NPI 1558521906
1162 OLIVER RD STE 4
Monroe, LA 71201
(318) 340-1535
✔ PECOS31 mi
Mental Health Counselor
NPI 1942269394
4800 S GRAND ST
Monroe, LA 71202
(318) 362-3339
✔ PECOS✔ Accepts Medicare31 mi
Mental Health Counselor
NPI 1811360118
4800 S GRAND ST
Monroe, LA 71202
(318) 362-3339
✔ PECOS31 mi
Clinical Social Worker
NPI 1962541730
4800 S GRAND ST
Monroe, LA 71202
(318) 362-3339
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1619063161
4864 JACKSON STREET DEPARTMENT OF FAMILY MEDICINE
Monroe, LA 71202
(318) 330-7650
✔ PECOS✔ Accepts Medicare31 mi
Mental Health Counselor
NPI 1083114805
2807 EVANGELINE ST
Monroe, LA 71201
(318) 654-7667
✔ PECOS✔ Accepts Medicare32 mi
Mental Health Counselor
NPI 1649645946
2911 CAMERON ST
Monroe, LA 71201
(318) 651-9363
✔ PECOS32 mi
Mental Health Counselor
NPI 1295106607
2410 FERRAND ST STE 9
Monroe, LA 71201
(318) 323-1560
✔ PECOS✔ Accepts Medicare32 mi
Mental Health Counselor
NPI 1326494410
681 HIGHWAY 594
Monroe, LA 71203
(318) 737-7457
✔ PECOS38 mi
Clinical Social Worker
NPI 1326353442
112 DESIRABLE LANE
Monroe, LA 71203
(318) 651-9866
✔ PECOS✔ Accepts Medicare40 mi
Mental Health Counselor
NPI 1649387671
451 E MADISON AVE
Bastrop, LA 71220
(318) 283-0868
✔ PECOS✔ Accepts Medicare45 mi
Mental Health Counselor
NPI 1336614569
501 DURHAM ST
Bastrop, LA 71220
(318) 556-8440
✔ PECOS45 mi
Psychiatry
NPI 1619946001
3018 OLD MINDEN RD SUITE 1212
Bossier City, LA 71112
(318) 747-1665
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1730578303
109 ELM ST
Delhi, LA 71232
(318) 878-6650
✔ PECOS✔ Accepts Medicare67 mi
Clinical Social Worker
NPI 1396074886
233 NORTH MAIN
Portland, AR 71663
(870) 737-2221
✔ PECOS✔ Accepts Medicare82 mi
See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1074431

Northeast Delta Human Sercives Authority · Monroe, LA
Active · expires Sep 26, 2027
CLIA Number19D1074431
Laboratory TypeRural O/P Beh/Prim Care
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorRobin Crockham
Laboratory Phone(318) 362-3270
Laboratory LocationNortheast Delta Human Sercives Authority4800 South Grand Street, Monroe, LA 71202
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Delta Human Services Authority's NPI number?

The NPI number for Northeast Delta Human Services Authority is 1033541230. It was assigned to this organization in the NPPES registry on July 30, 2013. The provider is doing business as Ruston Behavioral Health Clinic.

Where is Northeast Delta Human Services Authority located?

Northeast Delta Human Services Authority is located at 901 White St, Ruston, LA 71270. The listed phone number is (318) 251-4125.

What is Northeast Delta Human Services Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Northeast Delta Human Services Authority enrolled in Medicare?

Yes. Northeast Delta Human Services Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Delta Human Services Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeast Delta Human Services Authority. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (13), Clinical Social Worker (5) and Nurse Practitioner (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeast Delta Human Services Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1074431) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Delta Human Services Authority accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Northeast Delta Human Services Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Delta Human Services Authority was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.