Active NPI
Raime Thibodeaux LLC
- Professional Counselor
- Thibodaux, LA
National Provider Identifier
1881979995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3863
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raime Thibodeaux, LPC, NCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3863 | LA | |
| Professional Counselor | 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 DirectoryLocations
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.