Active NPI
Jennifer Marie Guidry, M.ED., PLPC
- Mental Health Counselor
- Thibodaux, LA
National Provider Identifier
1083240980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7093
- Practice address
- 106 Canal Blvd
Thibodaux, LA 70301-3408 - Phone
- (985) 519-4783
- NPI assigned
- Mar 23, 2020
- 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 | 7093 | LA | Primary |
Addresses
Primary practice location
106 Canal Blvd
Thibodaux, LA 70301-3408
Mailing address
1936 Saint Mary St
Thibodaux, LA 70301-5845
Phone (985) 519-4783
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7093 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699056000000",
"number": "1083240980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 SAINT MARY ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703015845",
"telephone_number": "985-519-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CANAL BLVD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703013408",
"telephone_number": "985-519-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "M.ED., PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2023-11-04",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "7093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.