Individual provider Active NPI

Monica Baltodano-Dubey, LPC, NCC

  • Professional Counselor
  • Metairie, LA
National Provider Identifier
1386827822
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3359 Issued in LA
Practice address
2901 Ridgelake Dr Ste 104
Metairie, LA 70002-4946
Phone
(504) 621-7914
Fax
(504) 324-0424
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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 3359 LA Primary

Addresses

Primary practice location

2901 Ridgelake Dr Ste 104
Metairie, LA 70002-4946

Mailing address

4828 Parker St
Metairie, LA 70001-4463
Phone (504) 779-7484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3005 Green Acres Rd
Metairie, LA 70003-1817
Phone (504) 621-7914

4300 S I 10 Service Rd W
Suite 101B
Metairie, LA 70001-7420
Phone (504) 621-7914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3359LAMDProfessional Counselor

Organizations & group practices 1

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1386827822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 PARKER ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014463",
            "telephone_number": "504-779-7484",
            "fax_number": "504-779-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR STE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024946",
            "telephone_number": "504-621-7914",
            "fax_number": "504-324-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTODANO-DUBEY",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.