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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: August 16, 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
Phone(318) 251-4125
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
Open in Google Maps ↗

Other Names 1

Doing Business AsRuston Behavioral Health Clinic

Other Identifiers 2

Medicaid1710342LA
Other2203785977LA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBECCA BARR BOURGEOIS LIC CLIN SOCIAL WORK
Social Worker
901 WHITE ST, RUSTON MENTAL HEALTH CENTER
RUSTON, LA 71270
Lincoln Parish (318) 251-4150
MS. CATHERINE GAY RAMSEY LCSW
Social Worker
901 WHITE ST
RUSTON, LA 71270
Lincoln Parish (318) 251-4150
MR. ROBERT CULLEN HEARNE RN
Registered Nurse
901 WHITE ST
RUSTON, LA 71270
Lincoln Parish (318) 251-4150
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Clinic/Center (Primary Care)
901 WHITE ST
RUSTON, LA 71270
Lincoln Parish (318) 251-4125
MR. STAN H MAHAFFEY LPC, LMFT, NCC
Marriage & Family Therapist
901 WHITE ST
RUSTON, LA 71270
Lincoln Parish (318) 251-4150
MISS CASSANDRA DIAN SMITH MSW, GSW
Social Worker
901 WHITE ST
RUSTON, LA 71270
Lincoln Parish (318) 251-4150

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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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.