Active NPI
Genita Dawson
- Counselor
- Baton Rouge, LA
National Provider Identifier
1083087555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3051
- Practice address
- 2274 Wooddale Blvd
Baton Rouge, LA 70806-1444 - Phone
- (225) 928-1088
- Fax
- (225) 932-9488
- NPI assigned
- Nov 5, 2015
- Last updated
- Nov 5, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3051 | LA | Primary |
Addresses
Primary practice location
2274 Wooddale Blvd
Baton Rouge, LA 70806-1444
Mailing address
2274 Wooddale Blvd
Baton Rouge, LA 70806-1444
Phone (225) 928-1088
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 |
|---|---|---|---|
| 3051 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethlehem Baptist Church Ofbr | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bethlehem Baptist Drug Treatment Program
- Community/Behavioral Health Agency
- Baton Rouge, LA
- NPI 1184097933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1083087555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2274 WOODDALE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061444",
"telephone_number": "225-928-1088",
"fax_number": "225-932-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2274 WOODDALE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061444",
"telephone_number": "225-928-1088",
"fax_number": "225-932-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "GENITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "3051",
"primary": true
}
],
"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 Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.