Active NPI
Nicholas Trahan, M.S., LPC
- Professional Counselor
- Metairie, LA
National Provider Identifier
1114788569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9131
- Practice address
- 2955 Ridgelake Dr Ste 208
Metairie, LA 70002-4962 - Phone
- (504) 874-5883
- NPI assigned
- Jan 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 9131 | LA | Primary |
Addresses
Primary practice location
2955 Ridgelake Dr Ste 208
Metairie, LA 70002-4962
Mailing address
2955 Ridgelake Dr Ste 208
Metairie, LA 70002-4962
Phone (504) 874-5883
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9131 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Counseling | Mental Health | Current | Accepting new patients |
Locations
2955 Ridgelake Dr
Ste 208
Metairie, LA 70002
Phone (504) 874-5883
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1114788569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 RIDGELAKE DR STE 208",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024962",
"telephone_number": "504-874-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 RIDGELAKE DR STE 208",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024962",
"telephone_number": "504-874-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAHAN",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-22",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "9131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.