Individual provider Active NPI

Gary Dupree Jr.

  • Professional Counselor
  • Raceland, LA
National Provider Identifier
1356880397
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7372 Issued in LA
Practice address
157 Twin Oaks Dr
Raceland, LA 70394-2761
Phone
(985) 537-6823
NPI assigned
Feb 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7372 LA Primary

Addresses

Primary practice location

157 Twin Oaks Dr
Raceland, LA 70394-2761

Mailing address

106 Clifton St
Thibodaux, LA 70301-5506
Phone (318) 609-3939

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222004064 LA Practitioner - Mental Health Counselor 5799129235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central la Human Services AuthorityGroup PAC ID 7810129871, 50 clinicians

Practice addresses (Care Compare)

5599 Hwy 311
Houma, LA 70360-2866
Phone (985) 857-3615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7372LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority CurrentSince Oct 28, 2024 Accepting new patients
South Central la Human Services Authority CurrentSince Oct 28, 2024 Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 876-8889

5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615

805 Barrow St
Houma, LA 70360
Phone (985) 857-3615

1809 W Airline Hwy
La Place, LA 70068
Phone (985) 652-8444

500 Roderick St
Ste B
Morgan City, LA 70380
Phone (985) 380-2460

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1356880397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CLIFTON ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015506",
            "telephone_number": "318-609-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TWIN OAKS DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942761",
            "telephone_number": "985-537-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "GARY",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

Verify at the official NPI Registry.