Organization Active NPI

Lydia T. Roy

Doing business as Lydia Roy, LPC

  • Mental Health Counselor
  • Alexandria, LA
National Provider Identifier
1093580243
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LYDIA T. ROY
Practice address
3921 Independence Dr Ste 101
Alexandria, LA 71303-3566
Phone
(318) 528-8717
Fax
(318) 528-8865
NPI assigned
Nov 17, 2023
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Ms. Lydia T. Roy, LPCNPI 1740431568
Title
Owner
Phone
(318) 528-8717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3921 Independence Dr Ste 101
Alexandria, LA 71303-3566

Mailing address

3921 Independence Dr Ste 101
Alexandria, LA 71303-3566
Phone (318) 528-8717

Other names 1

  • Lydia Roy, LPC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122002102 LA Part B Supplier - Clinic/Group Practice 3476905845 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

3921 Independence Dr
Ste 101
Alexandria, LA 71303
Phone (318) 528-8717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1093580243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 INDEPENDENCE DR STE 101",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033566",
            "telephone_number": "318-528-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 INDEPENDENCE DR STE 101",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033566",
            "telephone_number": "318-528-8717",
            "fax_number": "318-528-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA T. ROY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-528-8717",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lydia Roy, LPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lydia Roy, LPC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.