Takendra Brown

Individual provider Active NPI Professional Counselor · Loranger, LA

NPI 1104287788 · NPPES record last updated Jun 23, 2026

Key facts

NPI
1104287788
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
5540 (LA)
Practice address
54016 Highway 1062
Loranger, LA 70446-3538
Phone
(985) 606-9000
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 395
Clinton, LA 70722

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5540 LA
Professional Counselor 101YP2500X 5540 LA Yes

Addresses

Primary practice location

54016 Highway 1062
Loranger, LA 70446-3538

Mailing address

811 Mooney Ave Apt a
Hammond, LA 70403-5915
Phone (985) 215-2762

Other practice location 1

811 Mooney Ave Apt A
Hammond, LA 70403-5915
Phone (985) 215-2762

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 23, 2026.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1104287788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MOONEY AVE APT A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035915",
            "telephone_number": "985-215-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54016 HIGHWAY 1062",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704463538",
            "telephone_number": "985-606-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Mooney Ave Apt A",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704035915",
            "country_code": "US",
            "telephone_number": "985-215-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAKENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5540",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loranger, LA

All providers in Loranger, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.