Individual provider Active NPI

Charenyia Charkeijah Carmouche

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1164919601
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
6744 Hanks Dr
Baton Rouge, LA 70812-3523
Phone
(504) 478-0395
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010664538 LA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

6744 Hanks Dr
Baton Rouge, LA 70812-3523

Mailing address

12376 Buckingham Ave
Baton Rouge, LA 70815-6766
Phone (504) 478-0395

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

LicenseStateTypeSpecialty
010664538LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1164919601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12376 BUCKINGHAM AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708156766",
            "telephone_number": "504-478-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 HANKS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708123523",
            "telephone_number": "504-478-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOUCHE",
        "first_name": "CHARENYIA",
        "middle_name": "CHARKEIJAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "010664538",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.