Northlake Counseling and Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2753 Issued in LA

Legal business name

NORTHLAKE COUNSELING AND CONSULTING, LLC

Practice address

902 C M Fagan Dr Ste B
Hammond, LA 70403-6043

Phone

(985) 687-5226

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Jessica Gandolfo, LPC-S, LMFT

Title

Owner

Phone

(985) 687-5226

Specialties & licenses 1

Addresses

Tax ID family

Northlake Counseling and Consulting2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northlake Counseling and Consulting

  • Professional Counselor
  • Ponchatoula, LA
  • NPI 1922369297
  NPD tax ID

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1275957979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S 8TH ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543415",
            "telephone_number": "985-687-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 C M FAGAN DR STE B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036043",
            "telephone_number": "985-687-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "GANDOLFO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-687-5226",
        "authorized_official_credential": "LPC-S, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "2753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Oaks Rehabilitation Hospital, LLC
• Northlake Endoscopy, LLC
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• Northlake Rheumatology, Pmllc

• Community/Behavioral Health Agency in Hammond, LA
• Providers in Hammond, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.