Individual provider Active NPI

Angela Quebedeaux Fontenot, LPC, CRC, LRC

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1922385855
Registry record updated Nov 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3369 Issued in LA
Practice address
1728A W University Ave
Lafayette, LA 70506-3348
Phone
(337) 262-0013
Fax
(337) 262-0691
NPI assigned
Nov 6, 2011
Last updated
Nov 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3369 LA Primary
Rehabilitation Counselor 225C00000X 668 LA

Addresses

Primary practice location

1728A W University Ave
Lafayette, LA 70506-3348

Mailing address

1728A W University Ave
Lafayette, LA 70506-3348
Phone (337) 262-0013

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240220003573 LA Practitioner - Mental Health Counselor 0042654824 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3369LAMDProfessional Counselor
668LAMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Management Services of St. Landry, LLC CurrentSince Nov 17, 2024 Accepting new patients
Resource Management Services, Inc. of Southwest Louisiana CurrentSince Jan 1, 2024 Accepting new patients

Locations

2020 W Pinhook Rd
Ste 204
Lafayette, LA 70508
Phone (337) 261-8781

1333 Common St
Lake Charles, LA 70601
Phone (337) 437-4014

184 Williamsburg St
Lake Charles, LA 70605
Phone (337) 437-4014

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320537600000",
    "number": "1922385855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728A W UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063348",
            "telephone_number": "337-262-0013",
            "fax_number": "337-262-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728A W UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063348",
            "telephone_number": "337-262-0013",
            "fax_number": "337-262-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "ANGELA",
        "middle_name": "QUEBEDEAUX",
        "credential": "LPC, CRC, LRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-06",
        "last_updated": "2011-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3369",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "LA",
            "license": "668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.