Active NPI
Desmarie O'Conner, CAC
- Counselor
- Baton Rouge, LA
National Provider Identifier
1366802191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1291
- Practice address
- 2121 Wooddale Blvd
Baton Rouge, LA 70805 - Phone
- (225) 231-2490
- Fax
- (225) 231-2775
- NPI assigned
- Mar 7, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1291 | LA | Primary |
Addresses
Primary practice location
2121 Wooddale Blvd
Baton Rouge, LA 70805
Mailing address
2121 Wooddale Blvd
Baton Rouge, LA 70806-1442
Phone (225) 231-2490
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 |
|---|---|---|---|
| 1291 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1366802191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 WOODDALE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061442",
"telephone_number": "225-231-2490",
"fax_number": "225-231-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 WOODDALE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70805",
"telephone_number": "225-231-2490",
"fax_number": "225-231-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNER",
"first_name": "DESMARIE",
"credential": "CAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "1291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.