Active NPI
Kelsey Thierry, MS
- Case Manager/Care Coordinator
- Denham Springs, LA
National Provider Identifier
1154788537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 106 Business Park Avenue
Denham Springs, LA 70726-7072 - Phone
- (888) 417-5250
- Fax
- (225) 341-8756
- NPI assigned
- Jan 15, 2016
- Last updated
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | LA | Primary |
Addresses
Primary practice location
106 Business Park Avenue
Denham Springs, LA 70726-7072
Mailing address
2525 Youree Dr Ste 110
Shreveport, LA 71104-3600
Phone (318) 742-3408
Other practice location 1
555 Saint Tammany St Ste D
Baton Rouge, LA 70806-6064
Phone (225) 929-9738
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Clinic | Past | Accepting new patients | |
| Laroque LLC | Past | Accepting new patients | |
| Behavioral Services of Louisiana, L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/rehabservices/r4/
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1215365689
-
dba Brightside Social Services Louisiana
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1114315694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1154788537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 YOUREE DR STE 110",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043600",
"telephone_number": "318-742-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BUSINESS PARK AVENUE",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267072",
"telephone_number": "888-417-5250",
"fax_number": "225-341-8756"
}
],
"practiceLocations": [
{
"address_1": "555 Saint Tammany St Ste D",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708066064",
"country_code": "US",
"telephone_number": "225-929-9738",
"fax_number": "225-929-9740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIERRY",
"first_name": "KELSEY",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.