Individual provider Active NPI

Charlotte Gilmore, LPC,LAC

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1497249825
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7263
Practice address
10508 N Glenstone PL
Baton Rouge, LA 70810-2838
Phone
(225) 443-2084
NPI assigned
Jun 19, 2018
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LA
Mental Health Counselor 101YM0800X 7263 Primary

Addresses

Primary practice location

10508 N Glenstone PL
Baton Rouge, LA 70810-2838

Mailing address

6142 Tennyson Dr
Baton Rouge, LA 70817-2937
Phone (225) 443-2083

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
I20240607001989 LA Practitioner - Mental Health Counselor 9234576711 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Essentials Current Accepting new patients
I C Lightstone Counseling & Coaching Services LLC Addiction (Substance Use Disorder) CurrentSince May 4, 2024 Accepting new patients

Locations

10508 N Glenstone Pl
Baton Rouge, LA 70810
Phone (225) 315-4270

11949 Bricksome Ave
Ste C
Baton Rouge, LA 70816
Phone (225) 443-2083

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, 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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1497249825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 TENNYSON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172937",
            "telephone_number": "225-443-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 N GLENSTONE PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102838",
            "telephone_number": "225-443-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "CHARLOTTE",
        "credential": "LPC,LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "7263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.