Camella Liberto Grau

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2940 Issued in LA

Practice address

6408 Bertha Dr
New Orleans, LA 70122-2248

Phone

(214) 499-4220

NPI assigned

Apr 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 29)

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.

• Marillac Community Health Centers

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796
  Medicare reassignment NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1386024891
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1093249518
  NPD (past)
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780935973
  NPD (past)
• Marillac Community Health Centers

  • Clinic/Center
  • Kenner, LA
  • NPI 1831594241
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1689018012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 BERTHA DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701222248",
            "telephone_number": "214-499-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 BERTHA DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701222248",
            "telephone_number": "214-499-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAU",
        "first_name": "CAMELLA",
        "middle_name": "LIBERTO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee'Ausha Ta'Chara Grant
• Stefan Charles Grant, M.D.
• Elizabeth Faith Granzow
• Jasmine Grass, LMSW
• Skylar Marie Grass, PHARMD
• Rachel Elaine Graubard
• Denise Graves, PHD
• Helen Gaskins Graves, M.D.
• Sarah Graves, MS, CCC-SLP
• Stephanie Louise Gravois-Rupe, M.D.

• Professional Counselor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.