Individual provider Active NPI

Katie Fetzer, PHD, LPC-S

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1215363205
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4866 Issued in LA
Practice address
7472 Highland Rd
Baton Rouge, LA 70808-6611
Phone
(225) 448-3359
Fax
(225) 448-3403
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4866 LA Primary

Addresses

Primary practice location

7472 Highland Rd
Baton Rouge, LA 70808-6611

Mailing address

7472 Highland Rd
Baton Rouge, LA 70808-6611
Phone (225) 448-3359

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
I20251212001140 LA Practitioner - Mental Health Counselor 0143714519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8490 Picardy Ave
Baton Rouge, LA 70809-3731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4866LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Internal Medicine Associates, LLC CurrentSince Sep 22, 2025 Accepting new patients
The Wellness Studio, LLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

7472 Highland Rd
Baton Rouge, LA 70808
Phone (225) 448-3359

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1215363205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7472 HIGHLAND RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086611",
            "telephone_number": "225-448-3359",
            "fax_number": "225-448-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 HIGHLAND RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086611",
            "telephone_number": "225-448-3359",
            "fax_number": "225-448-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETZER",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.