Rolandria McCauley
Individual provider Active NPI Mental Health Counselor · Plain Dealing, LA
NPI 1003340506 · NPPES record last updated Apr 12, 2017
Key facts
- NPI
- 1003340506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 623 South Perrin St
Plain Dealing, LA 71064-0005 - Phone
- (318) 510-1887
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
623 South Perrin St
Plain Dealing, LA 71064-0005
Mailing address
PO Box 5
Plain Dealing, LA 71064-0005
Phone (318) 510-1887
NPI Registry JSON
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1003340506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "PLAIN DEALING",
"state": "LA",
"postal_code": "710640005",
"telephone_number": "318-510-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 SOUTH PERRIN ST",
"city": "PLAIN DEALING",
"state": "LA",
"postal_code": "710640005",
"telephone_number": "318-510-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAULEY",
"first_name": "ROLANDRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Plain Dealing, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.