Individual provider Active NPI

Arlene C. Dale, ECT.

  • Peer Specialist
  • Baton Rouge, LA
National Provider Identifier
1972095792
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CAFPET090117-14 Issued in LA
Practice address
3180 Convention St Ste a
Baton Rouge, LA 70806-3711
Phone
(225) 831-1480
Fax
(225) 831-1480
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CAFPET090117-14 LA Primary

Addresses

Primary practice location

3180 Convention St Ste a
Baton Rouge, LA 70806-3711

Mailing address

1253 N Cicero Ave
Baton Rouge, LA 70816-1855
Phone (985) 503-8068

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CAFPET090117-14LAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1972095792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 N CICERO AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161855",
            "telephone_number": "985-503-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 CONVENTION ST STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063711",
            "telephone_number": "225-831-1480",
            "fax_number": "225-831-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "ARLENE",
        "middle_name": "C.",
        "credential": "ECT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "LA",
            "license": "CAFPET090117-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.