Individual provider Active NPI

Jacque Lee Robinson-Richard, RAC

  • Addiction (Substance Use Disorder) Counselor
  • Lafayette, LA
National Provider Identifier
1265093744
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1648 Issued in LA
Practice address
2020 W Pinhook Rd Ste 504
Lafayette, LA 70508-3212
Phone
(337) 214-2100
Fax
(337) 284-3559
NPI assigned
Jun 25, 2019
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1648 LA Primary

Addresses

Primary practice location

2020 W Pinhook Rd Ste 504
Lafayette, LA 70508-3212

Mailing address

2020 W Pinhook Rd Ste 504
Lafayette, LA 70508-3212
Phone (337) 214-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 3372843559 Direct

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

LicenseStateTypeSpecialty
1648LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1265093744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W PINHOOK RD STE 504",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083212",
            "telephone_number": "337-214-2100",
            "fax_number": "337-284-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W PINHOOK RD STE 504",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083212",
            "telephone_number": "337-214-2100",
            "fax_number": "337-284-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-RICHARD",
        "first_name": "JACQUE",
        "middle_name": "LEE",
        "credential": "RAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3372843559",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "2020 W Pinhook Rd Ste 504",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705083212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.