Individual provider Active NPI

Dawn B Roger, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Lafayette, LA
National Provider Identifier
1023389459
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1261 Issued in LA
Practice address
302 Dulles Dr
Suite 1
Lafayette, LA 70506-3008
Phone
(337) 262-4155
Fax
(337) 262-1146
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1261 LA Primary

Addresses

Primary practice location

302 Dulles Dr
Suite 1
Lafayette, LA 70506-3008

Mailing address

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226003949 LA Practitioner - Mental Health Counselor 7911488960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

302 Dulles Dr
Lafayette, LA 70506-3008

302 Dulles Dr
Lafayette, LA 70506-3099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District Addiction (Substance Use Disorder) CurrentSince Jan 10, 2026 Accepting new patients
Acadiana Area Human Services District Addiction (Substance Use Disorder) CurrentSince Jan 10, 2026 Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

Locations

302 Dulles Dr
Ste 1
Lafayette, LA 70506
Phone (337) 262-5870

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

Networks

  • MS PPO D-SNP
  • MS PPO
  • MS PPO C-SNP

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1023389459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4155",
            "fax_number": "337-262-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "address_2": "SUITE 1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4155",
            "fax_number": "337-262-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGER",
        "first_name": "DAWN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.