Active NPI
Dominique Michellee Rougeau, MA, BCBA, LBA
- Behavior Analyst
- Lake Charles, LA
National Provider Identifier
1790259463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-344
- Practice address
- 1905 Tybee LN
Lake Charles, LA 70605-4172 - Phone
- (337) 240-8162
- NPI assigned
- Jan 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | L-344 | LA | Primary |
Addresses
Primary practice location
1905 Tybee LN
Lake Charles, LA 70605-4172
Mailing address
18840 NW Rock Creek Cir Apt 285
Portland, OR 97229-7204
Phone (337) 292-5906
Other practice location 1
1924 Southwood Dr
Lake Charles, LA 70605-4131
Phone (337) 602-8884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3647681 | 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-344 | LA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Odyssey ABA, LLC | Behavior Analyst | Current | Accepting new patients |
| Renaissance Solutions, LLC | Behavior Analyst | Past | Accepting new patients |
| Mental Connections of Southwest LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Portland, OR
- NPI 1114688660
-
- Mental Health Counselor
- Lake Charles, LA
- NPI 1508301037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1790259463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18840 NW ROCK CREEK CIR APT 285",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972297204",
"telephone_number": "337-292-5906",
"fax_number": "618-418-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 TYBEE LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054172",
"telephone_number": "337-240-8162"
}
],
"practiceLocations": [
{
"address_1": "1924 Southwood Dr",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706054131",
"country_code": "US",
"telephone_number": "337-602-8884",
"fax_number": "337-240-8163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUGEAU",
"first_name": "DOMINIQUE",
"middle_name": "MICHELLEE",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-16",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3647681",
"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 May 8, 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.