Individual provider Active NPI

Mary Jean Rabalais

  • Mental Health Counselor
  • Lake Charles, LA
National Provider Identifier
1760198717
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PLC11316 Issued in LA
Practice address
500 Broad St # 213
Lake Charles, LA 70601-4335
Phone
(337) 707-3872
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PLC11316 LA Primary

Addresses

Primary practice location

500 Broad St # 213
Lake Charles, LA 70601-4335

Mailing address

500 Broad St # 213
Lake Charles, LA 70601-4335
Phone (337) 707-3872

Other identifiers 1

IdentifierTypeStateIssuer
1551228MedicaidLA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acadian Holistic Services LLC CurrentSince May 28, 2023 Accepting new patients

Locations

500 Broad St
Ste 213
Lake Charles, LA 70601

500 Broad St
#213
Lake Charles, LA 70601
Phone (337) 429-5105

2829 4th Ave
Ste 215
Lake Charles, LA 70601
Phone (337) 707-3872

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1760198717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROAD ST # 213",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014335",
            "telephone_number": "337-707-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROAD ST # 213",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014335",
            "telephone_number": "337-707-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABALAIS",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC11316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551228",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.