NORTHEAST DELTA HUMAN SERVICES AUTHORITY
NPI 1225782196
Clinic/Center - Primary Care in Bastrop, LA
About Northeast Delta Human Services Authority NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST DELTA HUMAN SERVICES AUTHORITY (NPI 1225782196), doing business as Bastrop Behavioral Health Clinic - Medical, is a healthcare organization registered as a primary care in Bastrop, Louisiana and active in the NPI registry since February 2022. The organization lists Octavia Green, Administrative Program Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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)
Northeast Delta Human Services Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Northeast Delta Human Services Authority, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 28Monroe, LA 71202
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1225782196. It was assigned to this organization in the NPPES registry on February 9, 2022. The provider is doing business as Bastrop Behavioral Health Clinic - Medical.
Where is Northeast Delta Human Services Authority located?
Northeast Delta Human Services Authority is located at 451 E Madison Ave, Bastrop, LA 71220. The listed phone number is (318) 283-0868.
What is Northeast Delta Human Services Authority's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
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). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeast Delta Human Services Authority accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana 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 June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Northeast Delta Human Services Authority · NPI 1225782196
Primary Care organization in Bastrop, Louisiana. Organization record, active in the CMS NPPES registry since February 9, 2022.
## Identity
- **NPI:** 1225782196 (Entity type: Organization)
- **Enumerated:** February 9, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Bastrop Behavioral Health Clinic - Medical (Doing Business As)
- **Organization subpart:** Yes (part of Northeast Delta Human Services Authority)
- **Authorized official:** Octavia Green, ADMINISTRATIVE PROGRAM MANAGER
## Practice location
- **Address:** 451 E MADISON AVE, Bastrop, LA 71220-3829
- **Phone:** (318) 283-0868 · **Fax:** (318) 556-7090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (13), Clinical Social Worker (5), Nurse Practitioner (4); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1225782196/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225782196) · Data from the CMS NPPES public registry.