Individual provider Active NPI

Lilian Wanjiku Gathanga, M.S. LPC

  • Professional Counselor
  • Lake Charles, LA
National Provider Identifier
1144750159
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8078 Issued in LA
Practice address
4510 Common St Apt 75
Lake Charles, LA 70607-5752
Phone
(337) 414-3397
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8078 LA
Professional Counselor 101YP2500X 8078 LA Primary

Addresses

Primary practice location

4510 Common St Apt 75
Lake Charles, LA 70607-5752

Mailing address

4510 Common St Apt 75
Lake Charles, LA 70607-5752
Phone (337) 414-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730004290 TX Practitioner - Mental Health Counselor 7315484011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 1600
Round Rock, TX 78681-4307
Phone (512) 588-1439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8078LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of Texas, PLLC CurrentSince Jan 7, 2026 Accepting new patients

Locations

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

7200 Wyoming Springs Dr
Ste 1600
Round Rock, TX 78681
Phone (512) 244-3554

Organizations & group practices 2

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1144750159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 COMMON ST APT 75",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706075752",
            "telephone_number": "337-414-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 COMMON ST APT 75",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706075752",
            "telephone_number": "337-414-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHANGA",
        "first_name": "LILIAN",
        "middle_name": "WANJIKU",
        "name_prefix": "Ms.",
        "credential": "M.S. LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "8078",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.