Active NPI
Laura Blake
- Mental Health Counselor
- Metairie, LA
National Provider Identifier
1013317080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC 5234
- Practice address
- 318 E Maple Ridge Dr
Metairie, LA 70001-6112 - Phone
- (504) 220-4567
- Fax
- (888) 315-1866
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC 5234 | LA | Primary |
Addresses
Primary practice location
318 E Maple Ridge Dr
Metairie, LA 70001-6112
Mailing address
318 E Maple Ridge Dr
Metairie, LA 70001-6112
Phone (504) 220-4567
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 |
|---|---|---|---|
| LPC 5234 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapeutic, Counseling, and Mediation Services, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1083099469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1013317080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 E MAPLE RIDGE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700016112",
"telephone_number": "504-220-4567",
"fax_number": "888-315-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E MAPLE RIDGE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700016112",
"telephone_number": "504-220-4567",
"fax_number": "888-315-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "LPC 5234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.