Individual provider Active NPI

Lance Joseph Miguez, LPC

  • Professional Counselor
  • Gonzales, LA
National Provider Identifier
1023459351
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4343 Issued in LA
Practice address
12320 Highway 44 Ste 3D
Gonzales, LA 70737-2202
Phone
(225) 253-3357
NPI assigned
Jul 15, 2013
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4343 LA Primary

Addresses

Primary practice location

12320 Highway 44 Ste 3D
Gonzales, LA 70737-2202

Mailing address

12320 Highway 44 Ste 3D
Gonzales, LA 70737-2202
Phone (225) 253-3357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209004181 LA Practitioner - Mental Health Counselor 4688100019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Percy Brown Rd
Thibodaux, LA 70301-6748
Phone 71385000491053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4343LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of Louisiana, LLC CurrentSince Oct 22, 2024 Accepting new patients
Senior Psychological Care of Louisiana, LLC CurrentSince Oct 22, 2024 Accepting new patients

Locations

1050 Medical Center Blvd
#C
Marrero, LA 70072
Phone (504) 347-0777

3405 Mansfield Rd
Shreveport, LA 71103
Phone (318) 222-3100

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (281) 759-2900

Networks

  • LA PPO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1023459351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44 STE 3D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-253-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44 STE 3D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-253-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEZ",
        "first_name": "LANCE",
        "middle_name": "JOSEPH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.