Active NPI
Megan Churchwell
- Mental Health Counselor
- Kenner, LA
National Provider Identifier
1104443993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PLC10247
- Practice address
- 4121 Medoc Dr
Kenner, LA 70065-1922 - Phone
- (504) 464-5662
- NPI assigned
- Jun 29, 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 | PLC10247 | LA | Primary |
Addresses
Primary practice location
4121 Medoc Dr
Kenner, LA 70065-1922
Mailing address
501 Manhattan Blvd
Harvey, LA 70058-4443
Phone (504) 641-4989
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC10247 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1104443993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MANHATTAN BLVD",
"city": "HARVEY",
"state": "LA",
"postal_code": "700584443",
"telephone_number": "504-641-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 MEDOC DR",
"city": "KENNER",
"state": "LA",
"postal_code": "700651922",
"telephone_number": "504-464-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCHWELL",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC10247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.