Gina Marie Caldarera, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5078 Issued in LA

Practice address

21089 S Frontage Rd
Lacassine, LA 70650

Phone

(337) 391-5052

NPI assigned

Sep 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Slidell, LA
  • NPI 1699396085
  NPD (past)
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
  • NPI 1801326723
  NPD (past)
• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
  • NPI 1346775210
  NPD (past)
• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bossier City, LA
  • NPI 1710412960
  NPD (past)

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1063239796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 COBBLESTONE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052571",
            "telephone_number": "337-802-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21089 S FRONTAGE RD",
            "city": "LACASSINE",
            "state": "LA",
            "postal_code": "70650",
            "telephone_number": "337-391-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDARERA",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Life LLC
• Michelle Lejeune Langley
• James Fitzgerald Mills, CIT
• Sanctuary Louisiana LLC
• Sanctuary Louisiana, LLC

• Addiction (Substance Use Disorder) Counselor in Lacassine, LA
• Providers in Lacassine, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.