Active NPI
Kassidy Delaine Guillory, LPC
- Mental Health Counselor
- Lake Charles, LA
National Provider Identifier
1063151959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 500 Broad St Ste 213
Lake Charles, LA 70601-4335 - Phone
- (337) 429-5105
- NPI assigned
- May 31, 2022
- Last updated
- Jun 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
500 Broad St Ste 213
Lake Charles, LA 70601-4335
Mailing address
500 Broad St Ste 213
Lake Charles, LA 70601-4335
Phone (337) 429-5105
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | guillory.k.ahs@gmail.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadian Holistic Services LLC | Past | Accepting new patients |
Interoperability endpoints
- julie@saltandlightcollaborative.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Charles, LA
- NPI 1275240228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1063151959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BROAD ST STE 213",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706014335",
"telephone_number": "337-429-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BROAD ST STE 213",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706014335",
"telephone_number": "337-429-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "KASSIDY",
"middle_name": "DELAINE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "guillory.k.ahs@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "500 Broad St Ste 213",
"city": "Lake Charles",
"state": "LA",
"country_code": "US",
"postal_code": "706014335",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.