MS. REBA DIANNE CASEBOLT (NPI# 1306147517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306147517 |
| Entity Type | Individual |
| Full Name | MS. REBA DIANNE CASEBOLT |
| Credential | CRC, LAC, CI |
| Practice Address |
13170 Dutchtwn Pt Ave Apt 914 Gonzales LA 70737-0104 |
| Mailing Address |
13170 Dutchtown Point Avenue #914 Gonzales LA 70737-1317 |
| Practice Telephone | 5044580497 |
| Practice Fax Number | 8006973631 |
| Mailing Telephone | 5044580497 |
| Mailing Fax Number | 8006973631 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CRC00109065 | LA | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | LAC1249 | LA | Behavioral Health & Social Service Providers |
| Street Address |
13170 DUTCHTWN PT AVE APT 914 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-0104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009979 | Monica H Fefie | Counselor | 1234 S Sanctuary Ave, Gonzales, LA 70737-4273 | 2020-09-23 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1366992703 | Asnsion Counseling Center | Counselor | 1112a East Ascension Complex, Gonzales, LA 70737-0000 | 2016-10-10 |
| 1407229990 | Anita Cann | Counselor | 8155 Highway 44, Gonzales, LA 70737-8128 | 2015-11-05 |
| 1558789362 | Carlos Vargas | Counselor | 821 Gonzalez Cir, Gonzales, CA 93926-9361 | 2014-03-31 |
| 1346595428 | William Ryan Schuette | Counselor | 1112 S. East Ascension Complex, Gonzales, LA 70737 | 2012-07-16 |
| 1609001601 | Brad Anthony Batiste | Counselor | 41009 Talonwood Dr, Gonzales, LA 70737-6943 | 2009-05-19 |
| 1346859584 | Latricia Blain | Counselor | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2020-07-23 |
| 1770097610 | Lequatta C Vessel | Counselor | 1058 E Worthy St Ste B-2, Gonzales, LA 70737-4302 | 2017-11-30 |
| 1407394414 | Averi Strickland | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2017-02-09 |
| Find all providers in GONZALES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.