Beau S Dantin, LMFT, LPC

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

4770 Issued in LA

Practice address

2325 Weymouth Dr
Baton Rouge, LA 70809-1481

Phone

(225) 361-0899

Fax

(337) 855-1829

NPI assigned

Oct 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1235534512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 WEYMOUTH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091481",
            "telephone_number": "225-361-0899",
            "fax_number": "337-855-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 WEYMOUTH DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091481",
            "telephone_number": "225-361-0899",
            "fax_number": "337-855-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTIN",
        "first_name": "BEAU",
        "middle_name": "S",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "4770",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "4770",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "LA",
            "license": "4770",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "4770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanedra Tredell Daniels, RSW
• Tahirih Daniels
• Wendy Contress Daniels, LMT
• Christine Danna
• Taylor Danna
• Diana M Dantin
• Karen Dantin, MD
• Kirsten Dantin, MS
• Tracey Leigh Dantin, MA CCC SLP
• Xuong T. Dao, MD

• Family Psychologist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.