Active NPI
Senetra Joe
- Counselor
- Baton Rouge, LA
National Provider Identifier
1124473558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PLC8566
- Practice address
- 11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421 - Phone
- (225) 261-7143
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | PLC8566 | LA | Primary |
Addresses
Primary practice location
11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Mailing address
1168 Ches Broussard Rd
Breaux Bridge, LA 70517-7227
Phone (337) 326-6127
Other practice location 1
850 Kaliste Saloom Rd
sutie 117
Lafayette, LA 70508-4230
Phone (337) 234-7109
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467745000 | Medicaid | LA | |
| 1467745000 | Other | LA | NPI NUMBER |
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 |
|---|---|---|---|
| PLC8566 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1124473558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1168 CHES BROUSSARD RD",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705177227",
"telephone_number": "337-326-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11408 LAKE SHERWOOD AVE N STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708160421",
"telephone_number": "225-261-7143"
}
],
"practiceLocations": [
{
"address_1": "850 Kaliste Saloom Rd",
"address_2": "sutie 117",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705084230",
"country_code": "US",
"telephone_number": "337-234-7109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOE",
"first_name": "SENETRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "PLC8566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467745000",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1467745000",
"state": "LA"
}
],
"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 Jul 30, 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.