La'Fonda Nicole Heard, PSY.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH322367 Issued in LA

Practice address

9151 Interline Ave Ste 9a
Baton Rouge, LA 70809-1970

Phone

(225) 907-1698

Fax

(225) 416-6164

NPI assigned

Mar 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• La'Fonda Nicole Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• On the Move for Christ Faith Based Counseling LLC

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  • Baton Rouge, LA
  • NPI 1558956961
  NPD Authorized official
• Array of Hope Outreach Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1194173005
  NPD

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1043771132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 INTERLINE AVE STE 9A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091970",
            "telephone_number": "225-907-1698",
            "fax_number": "225-416-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 INTERLINE AVE STE 9A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091970",
            "telephone_number": "225-907-1698",
            "fax_number": "225-416-6164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11940 Bricksome Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708162594",
            "country_code": "US",
            "telephone_number": "225-250-5829",
            "fax_number": "225-250-5879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEARD",
        "first_name": "LA'FONDA",
        "middle_name": "NICOLE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "LH322367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL CHRISTIAN THERAPIST",
            "identifier": "LH322367",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA'FONDA",
            "last_name": "GREEN",
            "middle_name": "NICOLE",
            "credential": "PSY. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healthy Shuttle LLC
• Holger C Heap, LPC
• Catherine Minch Heard, PHD, BCBA-D
• Fred R Heard, D.C.
• Kayla Heard
• Patricia Lynn Heard, LMT
• Stephen Heard, RAC
• Hearing Health Care of la
• Hearing Solutions, Inc.
• Charles Frederick Hearns Jr.

• Professional Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.