Elizabeth Baumer
Individual provider Active NPI Professional Counselor · Lafayette, LA
NPI 1376901272 · NPPES record last updated Feb 5, 2016
Key facts
- NPI
- 1376901272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5489 (LA)
- Practice address
- 93 Magnate Drive
Lafayette, LA 70508 - Phone
- (337) 889-5830
- Fax
- (337) 889-5834
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617003972 | LA | Practitioner - Mental Health Counselor | 4385155290 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5489 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychcare of Louisiana, LLC | Current |
Accepting new patients | |
| Senior Psychological Care of Louisiana, LLC | Current |
Accepting new patients | |
| C. Scott Eckholdt, PH.D., LTD., a Professional Psychology Corporation | Past | Accepting new patients | |
| Amy E Cavanaugh PHD LLC | Past | Accepting new patients |
Locations
18180 Jefferson Hwy
Baton Rouge, LA 70817
Phone (225) 291-8474
1050 Medical Center Blvd
#C
Marrero, LA 70072
Phone (504) 347-0777
1803 Jane St
New Iberia, LA 70563
Phone (337) 365-2466
3405 Mansfield Rd
Shreveport, LA 71103
Phone (318) 222-3100
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5489 | LA | Yes |
Addresses
Primary practice location
93 Magnate Drive
Lafayette, LA 70508
Mailing address
PO Box 80853
Lafayette, LA 70598-0853
Phone (337) 889-5830
Other providers in Lafayette, LA
- Jessica Broussard Baudoin
- Jody Anthony Baudoin
- Lynne M Bauersfeld
- Aaron Baum
- Derek B Baumbouree
- Molly Hargrave Baumgartner
- Nicholas Bayer
- Elizabeth Bayless
- Bayou Child and Family Services
- Bayou Kidney Care LLC
All providers in Lafayette, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.