Active NPI
Dawn G. Chadwick, LPC, NBCC
- Counselor
- Thibodaux, LA
National Provider Identifier
1306012257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2380
- Practice address
- 206 Green St
Suite 203
Thibodaux, LA 70301-3034 - Phone
- (985) 447-8788
- Fax
- (985) 447-8788
- NPI assigned
- May 1, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2380 | LA | Primary |
| Professional Counselor | 101YP2500X | 2380 | LA |
Addresses
Primary practice location
206 Green St
Suite 203
Thibodaux, LA 70301-3034
Mailing address
206 Green St
Suite 203
Thibodaux, LA 70301-3034
Phone (985) 447-8788
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 |
|---|---|---|---|
| 2380 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1306012257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 GREEN ST",
"address_2": "SUITE 203",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703013034",
"telephone_number": "985-447-8788",
"fax_number": "985-447-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 GREEN ST",
"address_2": "SUITE 203",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703013034",
"telephone_number": "985-447-8788",
"fax_number": "985-447-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWICK",
"first_name": "DAWN",
"middle_name": "G.",
"credential": "LPC, NBCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "2380",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2380",
"primary": false
}
],
"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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.