Individual provider Active NPI

Sola Marie Kippers, PH.D., LPC, LMFT

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1558766444
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2417 Issued in LA
Practice address
2924 Brakley Dr
Suite B2
Baton Rouge, LA 70816-2333
Phone
(225) 678-0810
Fax
(225) 214-0068
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2417 LA Primary
Marriage & Family Therapist 106H00000X 805 LA

Addresses

Primary practice location

2924 Brakley Dr
Suite B2
Baton Rouge, LA 70816-2333

Mailing address

2924 Brakley Dr
Suite B2
Baton Rouge, LA 70816-2333
Phone (225) 678-0810

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2417LAMDProfessional Counselor
805LAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1558766444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 BRAKLEY DR",
            "address_2": "SUITE B2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162333",
            "telephone_number": "225-678-0810",
            "fax_number": "225-214-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 BRAKLEY DR",
            "address_2": "SUITE B2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162333",
            "telephone_number": "225-678-0810",
            "fax_number": "225-214-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPPERS",
        "first_name": "SOLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2417",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "805",
            "primary": false
        }
    ],
    "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 Nov 4, 2014; 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.