Individual provider Active NPI

Kevin J Tripeaux, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1396887899
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5242 Issued in LA
Practice address
8414 Bluebonnet Blvd Ste 110
Baton Rouge, LA 70810-2823
Phone
(225) 978-7897
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5242 LA Primary

Addresses

Primary practice location

8414 Bluebonnet Blvd Ste 110
Baton Rouge, LA 70810-2823

Mailing address

8414 Bluebonnet Blvd Ste 110
Baton Rouge, LA 70810-2823
Phone (225) 978-7897

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051129000511 LA Practitioner - Clinical Social Worker 7719907286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

637 Saint Ferdinand St
Baton Rouge, LA 70802-6152
Phone (225) 439-2137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Headstrong Group, L.L.C. Clinical CurrentSince Jan 20, 2011 Accepting new patients
KR Roberts & Associates LLC Clinical Past Accepting new patients
Alpha Social Services LLC Clinical Past Accepting new patients
Louisiana Community Behavioral Health, Inc. Clinical Past Accepting new patients

Locations

637 Saint Ferdinand St
Baton Rouge, LA 70802
Phone (225) 955-9527

Organizations & group practices 4

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396887899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 BLUEBONNET BLVD STE 110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102823",
            "telephone_number": "225-978-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 BLUEBONNET BLVD STE 110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102823",
            "telephone_number": "225-978-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPEAUX",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.