Charlotte Lang, LPC-I – Professional Counselor

Key facts

NPI: 1174981682
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 6639 (LA)
Practice address: 54002 Highway 1062
Loranger, LA 70446-3538
Phone: (225) 683-5292
Fax: (225) 683-1310
NPI assigned: Jan 29, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Primary Care Providers for a Healthy Feliciana, Inc. Federally Qualified Health Center (FQHC) · Clinton, LA · NPI 1821245127

Medicare reassignment LA

Medicare participation

Medicare fee-for-service enrollment: Enrolled in LA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240529001575	LA	Practitioner - Mental Health Counselor	4183066608	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X		LA
Professional Counselor	101YP2500X	6639	LA	Yes

Addresses

Primary practice location

54002 Highway 1062
Loranger, LA 70446-3538

Mailing address

2150 General Pershing St
Mandeville, LA 70448-5125
Phone (985) 635-9225

Other practice location 1

2150 General Pershing St
Mandeville, LA 70448-5125
Phone (985) 635-9225

Other names

Charlotte Lang Professional name

Other providers in Loranger, LA

All providers in Loranger, LA · Professional Counselor in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.