Individual provider Active NPI

Kaci Aguilar Treadaway, LPC

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1831596261
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5096 Issued in LA
Practice address
4137 S Sherwood Forest Blvd
Suite 230
Baton Rouge, LA 70816-4377
Phone
(224) 938-5670
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5096 LA Primary

Addresses

Primary practice location

4137 S Sherwood Forest Blvd
Suite 230
Baton Rouge, LA 70816-4377

Mailing address

11333 Bainbridge Ave
Baton Rouge, LA 70817-7826
Phone (504) 234-5240

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

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1831596261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 BAINBRIDGE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708177826",
            "telephone_number": "504-234-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 S SHERWOOD FOREST BLVD",
            "address_2": "SUITE 230",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164377",
            "telephone_number": "224-938-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADAWAY",
        "first_name": "KACI",
        "middle_name": "AGUILAR",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.