Kristy Lashawn Dandridge-Clark, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

29437 Highway 63
Ste. 14
Livingston, LA 70754-7075

Phone

(225) 283-1356

NPI assigned

Sep 22, 2015

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristy Lashawn Dandridge Former name

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Service District 1 of East Baton Rouge ParishGroup PAC ID 0941191902, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristy.dandridgeclark.p1@direct.rkmprimarycare.nextgenshare.com

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.

• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center-Professional

  • General Acute Care Hospital
  • Zachary, LA
  • NPI 1962437681
  Medicare reassignment Care Compare group
• Primary Care Providers for a Healthy Feliciana, Inc.

  dba Clinton Lower Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1821245127
  Medicare reassignment NPD
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center - Lane Health & Wellness Clinic

  • Psychiatry Physician
  • Zachary, LA
  • NPI 1679466577
  NPD
• Primary Care Providers for a Healthy Feliciana, Inc

  dba RKM at Springfield Elementary

  • Federally Qualified Health Center (FQHC)
  • Springfield, LA
  • NPI 1326923384
  NPD
• Primary Care Providers for a Healthy Feliciana, Inc

  dba Clinton Middle Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1871692483
  NPD
• Single Minded Counseling, Consulting, & Coaching, LLC

  dba Single Minded Counseling, Consulting, & Coaching

  • Professional Counselor
  • Baton Rouge, LA
  • NPI 1659987337
  NPD
• Spectrum Rehab Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denham Springs, LA
  • NPI 1356493530
  NPD (past)

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1396114161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29437 HIGHWAY 63",
            "address_2": "STE. 14",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707547075",
            "telephone_number": "225-283-1356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8542 Siegen Ln",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708101940",
            "country_code": "US",
            "telephone_number": "225-308-1689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANDRIDGE-CLARK",
        "first_name": "KRISTY",
        "middle_name": "LASHAWN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS",
            "identifier": "6147",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "DANDRIDGE",
            "middle_name": "LASHAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Couvillion, LPN
• Mary Kathryn Coyle Ms L-SLP CCC-SLP
• Tammy P Crawford, MS, L-SLP, CCC-SLP
• Amber Crayton
• Christi Smith Daigle
• Alisha Davis, RN
• Alan M Day, DDS
• Courtney Leblanc Delatte, LPN
• Alice Caldwell Devall, LCSW
• Kaylie Dorsey

• Professional Counselor in Livingston, LA
• Providers in Livingston, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.