Tara Thibodaux, PLMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1253 Issued in LA

Practice address

1901B Airline Dr
Metairie, LA 70001-5936

Phone

(504) 833-4673

NPI assigned

Mar 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

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.

• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049
  NPD

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1104287986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901B AIRLINE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015936",
            "telephone_number": "504-833-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901B AIRLINE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015936",
            "telephone_number": "504-833-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODAUX",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "PLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillian Matthew Theriot, DDS
• Elizabeth Marston Theriot, M.D.
• Mallory Leah Theriot, RDN, LDN
• Margaret Theriot, DNP, FNP-C
• Ryan M Thibodaux, D.D.S.
• Alissa Thibodeaux
• Brandon Thibodeaux
• Dominique Thibodeaux, BCBA
• Eryn Elizabeth Thibodeaux
• Vernell A Thibodeaux, MCJ

• Marriage & Family Therapist in Metairie, LA
• Providers in Metairie, LA by specialty
• Marriage & Family Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.