Individual provider Active NPI

Connie H. Leblanc, M.S. LPC LMFT

  • Marriage & Family Therapist
  • Lafayette, LA
National Provider Identifier
1174562995
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
242 Issued in LA
Practice address
315 S College Rd
Suite 277
Lafayette, LA 70503-3212
Phone
(337) 237-4229
Fax
(337) 289-1416
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 242 LA Primary
Professional Counselor 101YP2500X 2281 LA

Addresses

Primary practice location

315 S College Rd
Suite 277
Lafayette, LA 70503-3212

Mailing address

1304 Bertrand Drive
Suite D-4
Lafayette, LA 70506
Phone (337) 849-4531

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

LicenseStateTypeSpecialty
2281LAMDProfessional Counselor
242LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lightfoot Clinic of Chiropractic CurrentSince Jul 21, 2024 Accepting new patients
Richardson Chiropractic Group CurrentSince Jul 21, 2024 Accepting new patients

Locations

1304 Bertrand Dr
Ste D4
Lafayette, LA 70506
Phone (337) 234-4987

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1174562995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DRIVE",
            "address_2": "SUITE D-4",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-849-4531",
            "fax_number": "337-237-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S COLLEGE RD",
            "address_2": "SUITE 277",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033212",
            "telephone_number": "337-237-4229",
            "fax_number": "337-289-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "CONNIE",
        "middle_name": "H.",
        "credential": "M.S. LPC LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "242",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.