Individual provider Active NPI

Talmadge Felix Gray, LPC

  • Professional Counselor
  • La Place, LA
National Provider Identifier
1184080103
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5826 Issued in LA
Practice address
429 W Airline Hwy
La Place, LA 70068-3817
Phone
(985) 618-3403
NPI assigned
Jan 6, 2016
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC014414 GA
Professional Counselor 101YP2500X 5826 LA Primary

Addresses

Primary practice location

429 W Airline Hwy
La Place, LA 70068-3817

Mailing address

429 W Airline Hwy
La Place, LA 70068-3817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20241213003420 LA Practitioner - Mental Health Counselor 9739615733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azalea Health ServicesGroup PAC ID 8628432028, 41 clinicians

Practice addresses (Care Compare)

725 Brentwood Blvd
Lafayette, LA 70503-4405
Phone (337) 393-0678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC014414GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services CurrentSince Dec 2, 2024 Accepting new patients
Azalea Health Services Texas LLC CurrentSince Dec 2, 2024 Accepting new patients

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1184080103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W AIRLINE HWY",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W AIRLINE HWY",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683817",
            "telephone_number": "985-618-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TALMADGE",
        "middle_name": "FELIX",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014414",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.