Active NPI
Alexis Kateridge, LPC
- Professional Counselor
- Slidell, LA
National Provider Identifier
1326489402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC8159
- Practice address
- 350 Gateway Dr
Slidell, LA 70461-5589 - Phone
- (985) 707-1410
- NPI assigned
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | LA | ||
| Professional Counselor | 101YP2500X | LC8159 | LA | Primary |
Addresses
Primary practice location
350 Gateway Dr
Slidell, LA 70461-5589
Mailing address
350 Gateway Dr
Slidell, LA 70461-5589
Other practice location 1
600 Mariners Plaza Dr Ste 603
Mandeville, LA 70448-6826
Phone (985) 465-4250
Other practice location 2
240 Long Island Ave
Wyandanch, NY 11798-3123
Phone (631) 920-8280 ext. 7284
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 |
|---|---|---|---|
| LC8159 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1326489402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 GATEWAY DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 GATEWAY DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615589",
"telephone_number": "985-707-1410"
}
],
"practiceLocations": [
{
"address_1": "600 Mariners Plaza Dr Ste 603",
"address_purpose": "LOCATION",
"city": "Mandeville",
"state": "LA",
"postal_code": "704486826",
"country_code": "US",
"telephone_number": "985-465-4250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Long Island Ave",
"address_purpose": "LOCATION",
"city": "Wyandanch",
"state": "NY",
"postal_code": "117983123",
"country_code": "US",
"telephone_number": "631-920-8280 x7284",
"fax_number": "631-920-8281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATERIDGE",
"first_name": "ALEXIS",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "LC8159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.