Active NPI
Amanda Rousse, LPC
- Professional Counselor
- Thibodaux, LA
National Provider Identifier
1255796058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5293
- Practice address
- 142 Laura Dr Ste D
Thibodaux, LA 70301-2988 - Phone
- (985) 446-4114
- NPI assigned
- Dec 21, 2015
- Last updated
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 5293 | LA | Primary |
Addresses
Primary practice location
142 Laura Dr Ste D
Thibodaux, LA 70301-2988
Mailing address
138 Family Farm Rd
Lockport, LA 70374-4281
Phone (985) 637-2903
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 |
|---|---|---|---|
| 5293 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1255796058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 FAMILY FARM RD",
"city": "LOCKPORT",
"state": "LA",
"postal_code": "703744281",
"telephone_number": "985-637-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 LAURA DR STE D",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012988",
"telephone_number": "985-446-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSE",
"first_name": "AMANDA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.