Individual provider Active NPI

Lamarre Edouard Jr., LPCC

  • Professional Counselor
  • Carlsbad, CA
National Provider Identifier
1407547953
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC18493 Issued in CA
Practice address
5938 Priestly Dr Ste 103
Carlsbad, CA 92008-8847
Phone
(858) 771-4387
NPI assigned
May 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 LPCC18493 CA Primary

Addresses

Primary practice location

5938 Priestly Dr Ste 103
Carlsbad, CA 92008-8847

Mailing address

4733 Soria Dr
San Diego, CA 92115-3821
Phone (619) 357-6770

Other practice location 1

5472 El Cajon Blvd Ste 101
San Diego, CA 92115-3651
Phone (619) 269-0836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250226002622 CA Practitioner - Mental Health Counselor 4981124583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers of San Diego IncGroup PAC ID 3476446378, 299 clinicians

Practice addresses (Care Compare)

5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone (619) 515-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC18493CAMDProfessional Counselor
18493CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Feb 24, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 24, 2025 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince May 1, 2025 Accepting new patients
Bold Health Medical Group, a Professional Corporation PastSince May 1, 2023 Accepting new patients
Family Health Centers of San Diego, Inc PastSince Mar 12, 2024 Accepting new patients

Locations

5472 El Cajon Blvd
Ste 101
San Diego, CA 92115
Phone (619) 269-0836

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1407547953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 SORIA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153821",
            "telephone_number": "619-357-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 PRIESTLY DR STE 103",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088847",
            "telephone_number": "858-771-4387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5472 El Cajon Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921153651",
            "country_code": "US",
            "telephone_number": "619-269-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "LAMARRE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC18493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.