Individual provider Active NPI

Shalonda Elizabeth Rubin, LPC

  • Mental Health Counselor
  • Lafayette, LA
National Provider Identifier
1902332869
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7012 Issued in LA
Practice address
1604 W Pinhook Rd Ste 208
Lafayette, LA 70508-3729
Phone
(337) 335-7671
Fax
(337) 205-6273
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7012 LA Primary

Addresses

Primary practice location

1604 W Pinhook Rd Ste 208
Lafayette, LA 70508-3729

Mailing address

1604 W Pinhook Rd Ste 208
Lafayette, LA 70508-3729
Phone (337) 335-7671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1604 W Pinhook Rd
Suite 208
Lafayette, LA 70508-3729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7012LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Relax & Talk Mental Health CurrentSince Aug 27, 2023 Accepting new patients

Locations

160 Industrial Pkwy
Ofc 113
Lafayette, LA 70508

1604 W Pinhook Rd
Ste 115
Lafayette, LA 70508
Phone (337) 335-7671

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1902332869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 W PINHOOK RD STE 208",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083729",
            "telephone_number": "337-335-7671",
            "fax_number": "337-205-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 W PINHOOK RD STE 208",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083729",
            "telephone_number": "337-335-7671",
            "fax_number": "337-205-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SHALONDA",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.