Robert Allen Carlisle, LPC-S

Individual provider Active NPI Professional Counselor · Livingston, LA

NPI 1235009986 · NPPES record last updated Nov 7, 2025

Key facts

NPI
1235009986
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2369 (LA)
Practice address
28315 S Frost Rd
Livingston, LA 70754-2612
Phone
(225) 283-1356
Fax
(225) 686-2962
NPI assigned
Nov 7, 2025
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 395
Clinton, LA 70722

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20251220000777 LA Practitioner - Mental Health Counselor 9830684422 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2369LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers for a Healthy Feliciana, Inc. Current
since Dec 1, 2025
Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc Current
since Dec 1, 2025
Accepting new patients

Locations

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

Interoperability endpoints

  • Direct secure messaging: robert.carlisle.p1@direct.rkmprimarycare.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2369 LA Yes

Addresses

Primary practice location

28315 S Frost Rd
Livingston, LA 70754-2612

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other providers in Livingston, LA

All providers in Livingston, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.