Individual provider Active NPI

Bridgette Lynette Azoanee

  • Counselor
  • Baton Rouge, LA
National Provider Identifier
1750989190
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11002 Issued in LA
Practice address
4119 Lake Sherwood Ave E
Baton Rouge, LA 70816-7322
Phone
(225) 485-6439
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X 11002 LA Primary

Addresses

Primary practice location

4119 Lake Sherwood Ave E
Baton Rouge, LA 70816-7322

Mailing address

4119 Lake Sherwood Ave E
Baton Rouge, LA 70816-7322

Other practice location 1

2211 Weymouth Dr Ste B&c
Baton Rouge, LA 70809-2017
Phone (225) 923-3733

Other identifiers 1

IdentifierTypeStateIssuer
600964601MedicaidLA

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
11002LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1750989190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 LAKE SHERWOOD AVE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708167322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 LAKE SHERWOOD AVE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708167322",
            "telephone_number": "225-485-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Weymouth Dr Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708092017",
            "country_code": "US",
            "telephone_number": "225-923-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZOANEE",
        "first_name": "BRIDGETTE",
        "middle_name": "LYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "11002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600964601",
            "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 Dec 15, 2025; 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.