Individual provider Active NPI

Katelyn H Landry, LPC-S

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1114555869
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6591 Issued in LA
Practice address
143 Ridgeway Dr Ste 205
Lafayette, LA 70503-3494
Phone
(337) 362-2758
NPI assigned
Mar 30, 2020
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 6591 LA Primary

Addresses

Primary practice location

143 Ridgeway Dr Ste 205
Lafayette, LA 70503-3494

Mailing address

117 Concord St Ste a
Abbeville, LA 70510-4617
Phone (337) 362-2758

Other practice location 1

117 Concord St Ste A
Abbeville, LA 70510-4617
Phone (337) 362-2758

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

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1114555869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CONCORD ST STE A",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104617",
            "telephone_number": "337-362-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DR STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033494",
            "telephone_number": "337-362-2758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Concord St Ste A",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705104617",
            "country_code": "US",
            "telephone_number": "337-362-2758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "KATELYN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.