Individual provider Active NPI

Joshua Paul Roberts

  • Counselor
  • Lake Charles, LA
National Provider Identifier
1194182808
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
751 Bayou Pines East Dr Ste C
Lake Charles, LA 70601-7196
Phone
(337) 433-3292
NPI assigned
Jan 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

751 Bayou Pines East Dr Ste C
Lake Charles, LA 70601-7196

Mailing address

2525 Youree Dr Ste 110
Shreveport, LA 71104-3600
Phone (318) 742-3408

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
I20240625004017 LA Practitioner - Mental Health Counselor 1557805058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services CurrentSince Jun 7, 2024 Accepting new patients
Azalea Health Services Texas LLC CurrentSince Aug 1, 2024 Accepting new patients
Merakey Pennsylvania Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1194182808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 YOUREE DR STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043600",
            "telephone_number": "318-742-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BAYOU PINES EAST DR STE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017196",
            "telephone_number": "337-433-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.