Active NPI
Stacie Dukes
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1194373092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC005471
- Practice address
- 2133 Silverside Dr Ste F
Baton Rouge, LA 70808-4179 - Phone
- (225) 250-5677
- NPI assigned
- Sep 4, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC005471 | GA | Primary |
Addresses
Primary practice location
2133 Silverside Dr Ste F
Baton Rouge, LA 70808-4179
Mailing address
4194 Burbank Dr Apt 108D
Baton Rouge, LA 70808-6202
Phone (678) 524-0502
Other practice location 1
4194 Burbank Dr Apt 108D
Baton Rouge, LA 70808-6202
Phone (678) 524-0502
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.sharenote.com | Direct |
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 |
|---|---|---|---|
| APC005471 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Outreach Services LLC | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Baton Rouge, LA
- NPI 1962974725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1194373092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4194 BURBANK DR APT 108D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708086202",
"telephone_number": "678-524-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 SILVERSIDE DR STE F",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084179",
"telephone_number": "225-250-5677"
}
],
"practiceLocations": [
{
"address_1": "4194 Burbank Dr Apt 108D",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708086202",
"country_code": "US",
"telephone_number": "678-524-0502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUKES",
"first_name": "STACIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC005471",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.sharenote.com",
"affiliation": "N",
"endpointDescription": "Sharenote",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4194 Burbank Dr Apt 108D",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708086202",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 4, 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.