Active NPI
Sally A Siakel, LPC, LMFT
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1063701993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1435
- Practice address
- 4637 Jamestown Ave
Baton Rouge, LA 70808-3235 - Phone
- (225) 924-3000
- Fax
- (225) 924-3030
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1435 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | 425 | LA |
Addresses
Primary practice location
4637 Jamestown Ave
Baton Rouge, LA 70808-3235
Mailing address
4637 Jamestown Ave
Baton Rouge, LA 70808-3235
Phone (225) 924-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1435 | LA | MD | Professional Counselor |
| 425 | LA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamestown Avenue Counseling Center | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1063701993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4637 JAMESTOWN AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083235",
"telephone_number": "225-924-3000",
"fax_number": "225-924-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4637 JAMESTOWN AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083235",
"telephone_number": "225-924-3000",
"fax_number": "225-924-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAKEL",
"first_name": "SALLY",
"middle_name": "A",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "1435",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "425",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.