Active NPI
Roxy Renee Rubin
- Mental Health Counselor
- Lafayette, LA
National Provider Identifier
1982487799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PLC9428
- Practice address
- 1604 W Pinhook Rd Ste 115
Lafayette, LA 70508-3729 - Phone
- (337) 335-7671
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PLC9428 | LA | Primary |
Addresses
Primary practice location
1604 W Pinhook Rd Ste 115
Lafayette, LA 70508-3729
Mailing address
160 Stella LN
Morse, LA 70559-2608
Phone (337) 384-4004
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
| License | State | Type | Specialty |
|---|---|---|---|
| PLC9428 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relax & Talk | Mental Health | Current | Accepting new patients |
Locations
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.
-
- Mental Health Counselor
- Lafayette, LA
- NPI 1568027266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1982487799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 STELLA LN",
"city": "MORSE",
"state": "LA",
"postal_code": "705592608",
"telephone_number": "337-384-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 W PINHOOK RD STE 115",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083729",
"telephone_number": "337-335-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "ROXY",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC9428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.