Mark P Dufrene

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

126 Rue Colette
Thibodaux, LA 70301-5628

Phone

(985) 625-0023

NPI assigned

Feb 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Psychological Health Care of South LouisianaGroup PAC ID 5395916571, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Psychological Health Care of South Louisiana

  • Clinical Neuropsychologist
  • Houma, LA
  • NPI 1134418502
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1831842392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703943643",
            "telephone_number": "985-803-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 RUE COLETTE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015628",
            "telephone_number": "985-625-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRENE",
        "first_name": "MARK",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Duet, PA-C
• Abby Gros Dufrene, LOTR
• Alyssa M Dufrene, CRNA
• Ashley Ann Dufrene, PMHNP-BC
• Courtney Marie Dufrene, PA-C
• Paige Johnson Dufrene, MS,CCC-SLP
• Lindsay A Dufresne, PA-C
• Chad Michael Dugas, M.D.
• Thomas Edward Dukovac, M.D.
• Casey Rowden Duncan, RCS

• Counselor in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.