Active NPI
Tatiana Sofia Begault, B.S.,
- Student in an Organized Health Care Education/Training Program
- Mandeville, LA
National Provider Identifier
1811358708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2997376
- Practice address
- 1385 S Ridge Dr
Mandeville, LA 70448-1022 - Phone
- (504) 275-7489
- NPI assigned
- Mar 19, 2016
- Last updated
- Mar 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2997376 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2997376 | IL | Primary |
| Community Health Worker | 172V00000X | LA |
Addresses
Primary practice location
1385 S Ridge Dr
Mandeville, LA 70448-1022
Mailing address
1385 S Ridge Dr
Mandeville, LA 70448-1022
Phone (504) 275-7489
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2997376 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Behavioral Mental Health, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458345600000",
"number": "1811358708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 S RIDGE DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704481022",
"telephone_number": "504-275-7489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 S RIDGE DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704481022",
"telephone_number": "504-275-7489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEGAULT",
"first_name": "TATIANA",
"middle_name": "SOFIA",
"name_prefix": "Mrs.",
"credential": "B.S.,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-19",
"last_updated": "2016-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "2997376",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "2997376",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.