Active NPI
Michele Renee Vincent, LCSW
- Mental Health Counselor
- Broussard, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4274
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4274 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele Vincent, LCSW, LLC | Clinical | Current | 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
- 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.
-
- Clinical Social Worker
- New Iberia, LA
- NPI 1851705156
-
- Rural Health Clinic/Center
- New Iberia, LA
- NPI 1679879134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.