Organization Active NPI

Raime Thibodeaux LLC

  • Professional Counselor
  • Thibodaux, LA
National Provider Identifier
1881979995
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3863 Issued in LA
Legal business name
RAIME THIBODEAUX LLC
Practice address
403A Hickory St
Thibodaux, LA 70301-2013
Phone
(225) 802-3075
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Raime Thibodeaux, LPC, NCCNPI 1538458211
Title
Counselor
Phone
(225) 802-3075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3863 LA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 3863 LA Primary

Addresses

Primary practice location

403A Hickory St
Thibodaux, LA 70301-2013

Mailing address

330 Tetreau St
Thibodaux, LA 70301-3538
Phone (225) 802-3075

National Provider Directory

National Provider Directory

Locations

403A Hickory St
Thibodaux, LA 70301
Phone (225) 802-3075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1881979995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 TETREAU ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013538",
            "telephone_number": "225-802-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403A HICKORY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012013",
            "telephone_number": "225-802-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAIME THIBODEAUX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "RAIME",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "225-802-3075",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3863",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.