Individual provider Active NPI

Carrie S. Davidson

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1376915942
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6503 Issued in LA
Practice address
8888 Jefferson Hwy Ste B
Baton Rouge, LA 70809-2427
Phone
(318) 242-8051
NPI assigned
Oct 22, 2015
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6503 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X 6503 LA
Mental Health Counselor 101YM0800X 6503 LA
Professional Counselor 101YP2500X 6503 LA Primary

Addresses

Primary practice location

8888 Jefferson Hwy Ste B
Baton Rouge, LA 70809-2427

Mailing address

5635 Main St Ste A272
Zachary, LA 70791-4083
Phone (225) 301-2674

Other practice location 1

5635 Main St Ste A272
Zachary, LA 70791-4083
Phone (225) 301-2674

Other identifiers 1

IdentifierTypeStateIssuer
1376915942MedicaidLA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems Current Accepting new patients
Southeast Community Health Systems CurrentSince Jan 27, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 29, 2025 Accepting new patients
Rooted Counseling and Consultation, LLC Professional CurrentSince Jun 14, 2020 Accepting new patients
Southeast Community Health Systems CurrentSince Jan 27, 2024 Accepting new patients
Southeast Community Health Systems CurrentSince Jan 27, 2024 Accepting new patients
Grief Recovery Center PastSince Feb 1, 2021 Accepting new patients
A Turning Point Family & Community Services, Inc. Past Accepting new patients
Grief Recovery Center PastSince Feb 1, 2021 Accepting new patients

Locations

490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

5635 Main St
Ste A272
Zachary, LA 70791
Phone (225) 301-2674

6351 Main St
Zachary, LA 70791
Phone (225) 306-2026

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1376915942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 MAIN ST STE A272",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914083",
            "telephone_number": "225-301-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 JEFFERSON HWY STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092427",
            "telephone_number": "318-242-8051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5635 Main St Ste A272",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707914083",
            "country_code": "US",
            "telephone_number": "225-301-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "CARRIE",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "6503",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "6503",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6503",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376915942",
            "state": "LA"
        }
    ],
    "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 Jul 20, 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.

Verify at the official NPI Registry.