Individual provider Active NPI

Casey Mason Fabre, MA

  • Professional Counselor
  • Thibodaux, LA
National Provider Identifier
1932690229
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7636 Issued in LA
Practice address
102 W 2ND St
Thibodaux, LA 70301
Phone
(985) 446-5244
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 7636 LA Primary

Addresses

Primary practice location

102 W 2ND St
Thibodaux, LA 70301

Mailing address

102 W 2ND St
Thibodaux, LA 70301-3004
Phone (985) 446-5244

Other names 1

  • Casey Michelle Mason Former name

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
I20250123002949 LA Practitioner - Mental Health Counselor 3971032798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7636LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Start Corporation CurrentSince Dec 1, 2024 Accepting new patients
Start Corporation CurrentSince Dec 1, 2024 Accepting new patients

Locations

420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784

235 Civic Center Blvd
Houma, LA 70360
Phone (985) 333-2020

106 School St
Houma, LA 70360
Phone (985) 266-1028

102 W 2nd St
Thibodaux, LA 70301
Phone (985) 446-5244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1932690229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 2ND ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013004",
            "telephone_number": "985-446-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 2ND ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRE",
        "first_name": "CASEY",
        "middle_name": "MASON",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "MASON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.