Individual provider Active NPI

Linda Marie Peace-Buie, NCC, LPC

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1083216980
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1536 Issued in LA
Practice address
4811 Harding Blvd.
Ste. 143
Baton Rouge, LA 70811
Phone
(225) 572-9622
NPI assigned
Nov 15, 2020
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 1536 LA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

4811 Harding Blvd.
Ste. 143
Baton Rouge, LA 70811

Mailing address

PO Box 74675
Baton Rouge, LA 70874-4675
Phone (225) 572-9622

Other names 1

  • Linda Peace Professional name

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
I20241014002905 LA Practitioner - Mental Health Counselor 3971035130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1536LAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Releaf Behavioral Health and Wellness Clinic Current Accepting new patients

Organizations & group practices 2

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": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1083216980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74675",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708744675",
            "telephone_number": "225-572-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 HARDING BLVD.",
            "address_2": "STE. 143",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70811",
            "telephone_number": "225-572-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACE-BUIE",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2023-11-06",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1536",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PEACE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.