MARTESE BYRON CHILDRESS PSS SUP
NPI 1730079054
Peer Specialist in Baton Rouge, LA

Active since July 08, 2025
3173 WASHINGTON AVE, BATON ROUGE, LA 70802(225) 778-7678(225) 341-6825 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martese Byron Childress Pss Sup NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTESE BYRON CHILDRESS PSS SUP (NPI 1730079054) is an individual peer specialist in Baton Rouge, Louisiana, licensed in Louisiana (OBHPSS1086) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1730079054
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARTESE BYRON CHILDRESSCredential: PSS SUP
Location Address3173 WASHINGTON AVEBaton Rouge, LA 70802-2178
Mailing Address3173 Washington AveBaton Rouge, LA 70802-2178 · (225) 778-7678 · Fax (225) 341-6825
Fax(225) 341-6825
Sole ProprietorYes
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
NPI 1730079054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in LA · OBHPSS1086
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3173 WASHINGTON AVE, Baton Rouge, LA 70802

Other Identifiers 1

MedicaidOBHPSS1086LA

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
Case Manager/Care Coordinator
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
Clinic/Center (Community Health)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
Counselor (Mental Health)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
Counselor (Mental Health)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
Counselor (Mental Health)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
Non-emergency Medical Transport (VAN)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
Driver
3173 WASHINGTON AVE
BATON ROUGE, LA 70802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martese Childress's NPI number?

The NPI number for Martese Childress is 1730079054. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Martese Childress located?

Martese Childress practices at 3173 Washington Ave, Baton Rouge, LA 70802. The listed phone number is (225) 778-7678.

What is Martese Childress's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Martese Childress was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.