Individual provider Active NPI

Kimberly Marie Bainguel, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1447629688
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13548 Issued in LA
Practice address
7865 Jefferson Hwy Ste D
Baton Rouge, LA 70809-1384
Phone
(225) 448-6836
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 13548 LA Primary

Addresses

Primary practice location

7865 Jefferson Hwy Ste D
Baton Rouge, LA 70809-1384

Mailing address

11841 Old Hammond Hwy
Baton Rouge, LA 70816-3542
Phone (225) 448-6836

Other practice location 1

11841 Old Hammond Hwy
Baton Rouge, LA 70816-3542
Phone (225) 448-6836

Other names 1

  • Dr. Kimberly Marie Bainguel Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.bainguel@JBHCounselservices.com

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
I20200226000056 LA Practitioner - Clinical Social Worker 5092142331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2012 S Burnside Ave
Gonzales, LA 70737-4637
Phone (225) 313-7785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13548LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JBH Counsel Services, LLC Clinical CurrentSince Feb 2, 2020 Accepting new patients
Solutions Recovery Counseling Single Specialty CurrentSince Aug 13, 2024 Accepting new patients

Locations

2005 S Burnside Ave
LA 70737

7865 Jefferson Hwy
Ste D
Baton Rouge, LA 70809
Phone (225) 529-2207

2005 S Burnside Ave
Gonzales, LA 70737

2012 S Burnside Ave
Gonzales, LA 70737
Phone (225) 224-3200

Interoperability endpoints

  • Direct secure messaging: kimberly.bainguel@jbhcounselservices.com

Organizations & group practices 2

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1447629688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11841 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163542",
            "telephone_number": "225-448-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 JEFFERSON HWY STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091384",
            "telephone_number": "225-448-6836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11841 Old Hammond Hwy",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708163542",
            "country_code": "US",
            "telephone_number": "225-448-6836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINGUEL",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.bainguel@JBHCounselservices.com",
            "affiliation": "N",
            "address_1": "11841 Old Hammond Hwy",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708163542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BAINGUEL",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.