Active NPI
Kashon Corley, LPC
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1689991838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4169
- Practice address
- 2435 Drusilla LN
Baton Rouge, LA 70809 - Phone
- (225) 364-2090
- Fax
- (225) 208-1301
- NPI assigned
- Apr 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4169 | LA | Primary |
Addresses
Primary practice location
2435 Drusilla LN
Baton Rouge, LA 70809
Mailing address
PO Box 45703
Baton Rouge, LA 70895-4703
Phone (225) 636-1708
Other practice location 1
6141 Parkforest Dr
Suite #12
Baton Rouge, LA 70816-6111
Phone (225) 636-1708
Other practice location 2
18389 Petroleum Dr
Baton Rouge, LA 70809-6124
Phone (225) 364-2090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600746771 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4169 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1689991838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45703",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708954703",
"telephone_number": "225-636-1708",
"fax_number": "225-930-4944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 DRUSILLA LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70809",
"telephone_number": "225-364-2090",
"fax_number": "225-208-1301"
}
],
"practiceLocations": [
{
"address_1": "6141 Parkforest Dr",
"address_2": "Suite #12",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708166111",
"country_code": "US",
"telephone_number": "225-636-1708",
"fax_number": "225-930-4944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18389 Petroleum Dr",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708096124",
"country_code": "US",
"telephone_number": "225-364-2090",
"fax_number": "225-208-1301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORLEY",
"first_name": "KASHON",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600746771",
"state": "LA"
}
],
"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 Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.