Individual provider Active NPI

Dorlisa Fobb

  • Case Manager/Care Coordinator
  • Gonzales, LA
National Provider Identifier
1780475129
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1058 E Worthy St Ste B-2
Gonzales, LA 70737-4359
Phone
(225) 450-3216
Fax
(225) 450-3799
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1058 E Worthy St Ste B-2
Gonzales, LA 70737-4359

Mailing address

6929 Commerce Cir Apt 7311
Baton Rouge, LA 70809-1891
Phone (337) 322-0079

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
Enhance Health Care Services Behavioral Health, LLC CurrentSince May 18, 2025 Accepting new patients

Locations

1058 E Worthy St
Ste B2
Gonzales, LA 70737
Phone (225) 450-3216

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": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1780475129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 COMMERCE CIR APT 7311",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091891",
            "telephone_number": "337-322-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 E WORTHY ST STE B-2",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374359",
            "telephone_number": "225-450-3216",
            "fax_number": "225-450-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOBB",
        "first_name": "DORLISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

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