Individual provider Active NPI

Dalton Lee Enloe, CIT

  • Addiction (Substance Use Disorder) Counselor
  • Baton Rouge, LA
National Provider Identifier
1700622271
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CIT-5397 Issued in LA
Practice address
10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone
(225) 924-1910
Fax
(225) 416-6134
NPI assigned
Jul 3, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CIT-5397 LA Primary

Addresses

Primary practice location

10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264

Mailing address

10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (225) 924-1910

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

LicenseStateTypeSpecialty
CIT-5397LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1700622271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10473 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "225-924-1910",
            "fax_number": "225-416-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10473 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "225-924-1910",
            "fax_number": "225-416-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "DALTON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CIT-5397",
            "primary": true
        }
    ],
    "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 Jul 3, 2024; 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.