Individual provider Active NPI

Mary Fontenot Huval, NCC, LPC

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1114549292
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3642 Issued in LA
Practice address
850 Kaliste Saloom Rd Ste 204
Lafayette, LA 70508-4230
Phone
(337) 534-8141
NPI assigned
May 12, 2020
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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 3642 LA Primary

Addresses

Primary practice location

850 Kaliste Saloom Rd Ste 204
Lafayette, LA 70508-4230

Mailing address

2445 Peach Bloom Hwy
Church Point, LA 70525-3930
Phone (337) 258-9825

Other identifiers 1

IdentifierTypeStateIssuer
1497133508OtherLAPRIVATE INSURANCE COMPANY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 4, 2024 through Apr 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3642LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary F. Huval, NCC, LPC, LLC CurrentSince Jun 14, 2020 Accepting new patients

Locations

850 Kaliste Saloom Rd
Ste 204
Lafayette, LA 70508
Phone (337) 288-3360

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1114549292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 PEACH BLOOM HWY",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705253930",
            "telephone_number": "337-258-9825",
            "fax_number": "337-534-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD STE 204",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-534-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUVAL",
        "first_name": "MARY",
        "middle_name": "FONTENOT",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE COMPANY",
            "identifier": "1497133508",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.