Active NPI
Traylor Counseling Services, LLC
- Professional Counselor
- Minden, LA
National Provider Identifier
1124556949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4235
- Legal business name
- TRAYLOR COUNSELING SERVICES, LLC
- Practice address
- 1004 Recreation Dr
Minden, LA 71055-5125 - Phone
- (870) 310-2343
- NPI assigned
- May 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jonathon Brett Traylor, LPC
- Title
- Owner
- Phone
- (870) 310-2343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4235 | LA | Primary |
Addresses
Primary practice location
1004 Recreation Dr
Minden, LA 71055-5125
Mailing address
PO Box 188
Minden, LA 71058-0188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4235 | Other | LA | LPC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260107000904 | LA | Part B Supplier - Clinic/Group Practice | 6709372089 |
Receives reassigned benefits from 1 practitioner Practice locations: Minden, LA |
National Provider Directory
National Provider DirectoryLocations
1004 Recreation Dr
Minden, LA 71055
Phone (870) 310-2343
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495584000000",
"number": "1124556949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MINDEN",
"state": "LA",
"postal_code": "710580188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 RECREATION DR",
"city": "MINDEN",
"state": "LA",
"postal_code": "710555125",
"telephone_number": "870-310-2343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAYLOR COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-24",
"last_updated": "2017-05-24",
"status": "A",
"authorized_official_last_name": "TRAYLOR",
"authorized_official_first_name": "JONATHON",
"authorized_official_middle_name": "BRETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-310-2343",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE",
"identifier": "4235",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.