Individual provider Active NPI

Robin Claire Daugereau, M.A., LPC

  • Professional Counselor
  • Lake Charles, LA
National Provider Identifier
1063857191
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4894 Issued in LA
Practice address
127 Williamsburg St BLDG E
Lake Charles, LA 70605-5719
Phone
(337) 376-0136
Fax
(337) 376-5244
NPI assigned
May 2, 2013
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4894 LA Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

127 Williamsburg St BLDG E
Lake Charles, LA 70605-5719

Mailing address

PO Box 1273
Lake Charles, LA 70602-1273
Phone (337) 376-3013

Other identifiers 1

IdentifierTypeStateIssuer
3057174MedicaidLA

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
I20250103002338 LA Practitioner - Mental Health Counselor 2860898277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Connections of Southwest LLCGroup PAC ID 1850796632, 2 clinicians

Practice addresses (Care Compare)

127 Williamsburg St
Lake Charles, LA 70605-5719
Phone (337) 376-0136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4894LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Connections of Southwest LLC CurrentSince Oct 27, 2024 Accepting new patients
Beyond Words, Inc. Past Accepting new patients
Theresa M Ivey LLC PastSince Oct 20, 2024 Accepting new patients

Locations

127 Williamsburg St
Bldg E
Lake Charles, LA 70605
Phone (337) 376-0136

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1063857191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1273",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706021273",
            "telephone_number": "337-376-3013",
            "fax_number": "337-376-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WILLIAMSBURG ST BLDG E",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055719",
            "telephone_number": "337-376-0136",
            "fax_number": "337-376-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGEREAU",
        "first_name": "ROBIN",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4894",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057174",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.