Active NPI
Katherine Tebo, LPC-S
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1881116770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6262
- Practice address
- 10065 Old Hammond Hwy
Baton Rouge, LA 70816-8256 - Phone
- (225) 337-0390
- NPI assigned
- Jul 12, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6262 | LA | Primary |
Addresses
Primary practice location
10065 Old Hammond Hwy
Baton Rouge, LA 70816-8256
Mailing address
10065 Old Hammond Hwy
Baton Rouge, LA 70816-8256
Phone (225) 406-7643
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 |
|---|---|---|---|
| 6262 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1881116770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10065 OLD HAMMOND HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168256",
"telephone_number": "225-406-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10065 OLD HAMMOND HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168256",
"telephone_number": "225-337-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEBO",
"first_name": "KATHERINE",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6262",
"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 Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.