Individual provider Active NPI

Michele Renee Vincent, LCSW

  • Mental Health Counselor
  • Broussard, LA
National Provider Identifier
1225251986
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4274 Issued in LA
Practice address
805 Albertson Pkwy Ste a
Broussard, LA 70518-4350
Phone
(337) 330-4730
Fax
(337) 330-4732
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4274 LA Primary

Addresses

Primary practice location

805 Albertson Pkwy Ste a
Broussard, LA 70518-4350

Mailing address

805 Albertson Pkwy Ste a
Broussard, LA 70518-4350
Phone (337) 330-4730

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
I20070601000017 LA Practitioner - Clinical Social Worker 4789782566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

805 Albertson Pkwy
Suite a
Broussard, LA 70518-4350
Phone (337) 330-4730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4274LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Vincent, LCSW, LLC Clinical CurrentSince May 19, 2014 Accepting new patients
Iberia Healthcare LLC Past Accepting new patients

Locations

805 Albertson Pkwy
Ste A
Broussard, LA 70518
Phone (337) 257-9333

115 Hansel St
#A
New Iberia, LA 70560
Phone (337) 367-7889

1003 E Admiral Doyle Dr
New Iberia, LA 70560
Phone (337) 201-5051

Interoperability endpoints

  • Direct secure messaging: mvincent@michelevincentlcsw.direct.kno2fy.com

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1225251986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ALBERTSON PKWY STE A",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184350",
            "telephone_number": "337-330-4730",
            "fax_number": "337-330-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ALBERTSON PKWY STE A",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184350",
            "telephone_number": "337-330-4730",
            "fax_number": "337-330-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

Verify at the official NPI Registry.