Active NPI
Travis Thierry
- Mental Health Counselor
- Opelousas, LA
National Provider Identifier
1124551056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1502 Texas Eastern Rd
Opelousas
Opelousas, LA 70570-0892 - Phone
- (337) 948-0018
- NPI assigned
- Apr 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LA | Primary |
Addresses
Primary practice location
1502 Texas Eastern Rd
Opelousas
Opelousas, LA 70570-0892
Mailing address
1502 Texas Eastern Rd
Opelousas, LA 70570
Phone (337) 948-0018
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": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1124551056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 TEXAS EASTERN RD",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "70570",
"telephone_number": "337-948-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 TEXAS EASTERN RD",
"address_2": "OPELOUSAS",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705700892",
"telephone_number": "337-948-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIERRY",
"first_name": "TRAVIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.