TALLULAH BEHAVIORAL HEALTH CLINIC
NPI 1689016487
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tallulah, LA
About Tallulah Behavioral Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TALLULAH BEHAVIORAL HEALTH CLINIC (NPI 1689016487) is a healthcare organization registered as a mental health (including community mental health center) in Tallulah, Louisiana and active in the NPI registry since July 2013. The organization lists Octavia Green, Adminsitrative Program Specialist B, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Tallulah Behavioral Health Clinic 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 Tallulah 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
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 1689016487. It was assigned to this organization in the NPPES registry on July 22, 2013. The provider is doing business as Tallulah Behavioral Health Clinic.
Where is Northeast Delta Human Services Authority located?
Northeast Delta Human Services Authority is located at 1012 Johnson St, Tallulah, LA 71282. The listed phone number is (318) 574-1713.
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.
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 October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tallulah Behavioral Health Clinic · NPI 1689016487
Mental Health (Including Community Mental Health Center) organization in Tallulah, Louisiana. Organization record, active in the CMS NPPES registry since July 22, 2013.
## Identity
- **NPI:** 1689016487 (Entity type: Organization)
- **Enumerated:** July 22, 2013
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Northeast Delta Human Services Authority
- **Organization subpart:** No
- **Authorized official:** Octavia Green, ADMINSITRATIVE PROGRAM SPECIALIST B
## Practice location
- **Address:** 1012 JOHNSON ST, Tallulah, LA 71282-5216
- **Phone:** (318) 574-1713 · **Fax:** (381) 574-2299
## 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); [full list](https://npiprofile.com/npi/1689016487/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2023
- **Other identifiers:** Medicaid 1710351 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1689016487) · Data from the CMS NPPES public registry.