Individual provider Active NPI

Angela Landry, LCSW

  • Mental Health Counselor
  • Saint Francisville, LA
National Provider Identifier
1114464831
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11067 Issued in LA
Practice address
5687 Commerce St.
7
St. Francisville, LA 70775-2727
Phone
(225) 718-9525
NPI assigned
Jan 20, 2017
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11067 LA Primary

Addresses

Primary practice location

5687 Commerce St.
7
St. Francisville, LA 70775-2727

Mailing address

PO Box 2162
Saint Francisville, LA 70775-2162
Phone (225) 718-9525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804002407 LA Practitioner - Clinical Social Worker 5294006516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practicare, LLCGroup PAC ID 2860635224, 8 clinicians

Practice addresses (Care Compare)

7197 US Hwy 61
Saint Francisville, LA 70775-4541
Phone (225) 245-5040

7406 Hwy 1
Suite 103
Mansura, LA 71350-4230
Phone (318) 739-0086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Wellness Group, LLC Past Accepting new patients
Practicare, LLC PastSince Apr 6, 2013 Accepting new patients

Organizations & group practices 6

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1114464831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2162",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707752162",
            "telephone_number": "225-718-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5687 COMMERCE ST.",
            "address_2": "7",
            "city": "ST. FRANCISVILLE",
            "state": "LA",
            "postal_code": "707752727",
            "telephone_number": "225-718-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "11067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francisville, LA

Sources for this page

Verify at the official NPI Registry.