Active NPI
Bunny Joubert
- Clinical Social Worker
- Alexandria, LA
National Provider Identifier
1255913596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1839
- Practice address
- 109 Yorktown Dr Ste a
Alexandria, LA 71303-3673 - Phone
- (318) 542-4288
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alexandria, LA
- NPI 1881055507
LA
-
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, LA
- NPI 1033719356
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210701000508 | LA | Practitioner - Clinical Social Worker | 8123429842 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1839 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Behavioral Health, LLC | Current | Accepting new patients | |
| Carl Phillips NP Services | Current | Accepting new patients |
Locations
109 Yorktown Dr
Ste A
Alexandria, LA 71303
Phone (318) 880-8711
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1839 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
109 Yorktown Dr Ste a
Alexandria, LA 71303-3673
Mailing address
109 Yorktown Dr Ste a
Alexandria, LA 71303-3673
Phone (318) 542-4288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2021.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1255913596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 YORKTOWN DR STE A",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033673",
"telephone_number": "318-542-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 YORKTOWN DR STE A",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033673",
"telephone_number": "318-542-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOUBERT",
"first_name": "BUNNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.