Active NPI
Claire Theresa Pellerin, L.P.C., L.M.F.T.
- Professional Counselor
- Lake Charles, LA
National Provider Identifier
1033245170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2377
- Practice address
- 1624 Bank St
Lake Charles, LA 70601-6239 - Phone
- (337) 485-9564
- Fax
- (337) 855-0669
- NPI assigned
- Feb 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2377 | LA | Primary |
| Professional Counselor | 101YP2500X | 294 | LA |
Addresses
Primary practice location
1624 Bank St
Lake Charles, LA 70601-6239
Mailing address
1170 Wedgewood Dr
Lake Charles, LA 70611-4808
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 |
|---|---|---|---|
| 294 | LA | MD | Professional Counselor |
| 2377 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033245170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 WEDGEWOOD DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706114808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 BANK ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706016239",
"telephone_number": "337-485-9564",
"fax_number": "337-855-0669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLERIN",
"first_name": "CLAIRE",
"middle_name": "THERESA",
"name_prefix": "Ms.",
"credential": "L.P.C., L.M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2377",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "294",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.