Individual provider Active NPI

Shelbie Lee Bergeaux, MA

  • Professional Counselor
  • Eunice, LA
National Provider Identifier
1104488956
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8839 Issued in LA
Practice address
3320 Highway 190
Eunice, LA 70535-5126
Phone
(337) 466-3530
Fax
(337) 466-7089
NPI assigned
Jul 2, 2019
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8839 LA Primary

Addresses

Primary practice location

3320 Highway 190
Eunice, LA 70535-5126

Mailing address

3320 Highway 190
Eunice, LA 70535-5126
Phone (337) 466-3530

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony House Counseling & Life Coaching, LLC Single Specialty CurrentSince May 1, 2026 Accepting new patients

Locations

3320 Highway 190
Eunice, LA 70535
Phone (337) 466-3530

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1104488956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 HIGHWAY 190",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355126",
            "telephone_number": "337-466-3530",
            "fax_number": "337-466-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 HIGHWAY 190",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355126",
            "telephone_number": "337-466-3530",
            "fax_number": "337-466-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEAUX",
        "first_name": "SHELBIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.