Active NPI
Monique Bonifay Cauble, LPC
- Professional Counselor
- Augusta, GA
National Provider Identifier
1811164338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC002018
- Practice address
- 3551 Wheeler Road
Augusta, GA 30904 - Phone
- (803) 819-9021
- Fax
- (803) 819-9028
- NPI assigned
- May 14, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC002018 | GA | Primary |
Addresses
Primary practice location
3551 Wheeler Road
Augusta, GA 30904
Mailing address
625 Georgia Ave
Center for Care and Counseling for the Csra Inc
North Augusta, SC 29841
Phone (803) 819-9021
Other names 1
- Monique Kidd
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC002018 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Care and Counseling for the Csra Inc | Professional | Past | Accepting new patients |
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.
-
- Social Worker
- North Augusta, SC
- NPI 1568470060
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1811164338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 GEORGIA AVE",
"address_2": "CENTER FOR CARE AND COUNSELING FOR THE CSRA INC",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29841",
"telephone_number": "803-819-9021",
"fax_number": "803-819-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 WHEELER ROAD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30904",
"telephone_number": "803-819-9021",
"fax_number": "803-819-9028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUBLE",
"first_name": "MONIQUE",
"middle_name": "BONIFAY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC002018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "KIDD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.