Individual provider Active NPI

Claire Elizabeth Gonsoulin, M.A. CF-SLP

  • Speech-Language Pathologist
  • Baton Rouge, LA
National Provider Identifier
1407561392
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9222 Issued in LA
Practice address
3436 Tezcucco Dr
Baton Rouge, LA 70820-5012
Phone
(225) 610-8956
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9222 LA Primary

Addresses

Primary practice location

3436 Tezcucco Dr
Baton Rouge, LA 70820-5012

Mailing address

3436 Tezcucco Dr
Baton Rouge, LA 70820-5012
Phone (225) 610-8956

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9222LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1407561392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 TEZCUCCO DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708205012",
            "telephone_number": "225-610-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 TEZCUCCO DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708205012",
            "telephone_number": "225-610-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSOULIN",
        "first_name": "CLAIRE",
        "middle_name": "ELIZABETH",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9222",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 16, 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.