Individual provider Active NPI

Sumer Ledet Miguez, PH.D. M.P.

  • Prescribing (Medical) Psychologist
  • Lutcher, LA
National Provider Identifier
1295023125
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
320660 Issued in LA
Practice address
2232 South Albert Street
Lutcher, LA 70071-5245
Phone
(225) 323-5087
Fax
(866) 453-3775
NPI assigned
Jul 12, 2011
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1157 LA
Prescribing (Medical) Psychologist 103TP0016X 320660 LA Primary

Addresses

Primary practice location

2232 South Albert Street
Lutcher, LA 70071-5245

Mailing address

PO Box 795
Lutcher, LA 70071-0795
Phone (225) 323-5087

Other names 1

  • Mrs. Sumer Noel Ledet Former name

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
I20130911000526 LA Practitioner - Clinical Psychologist 3779727896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3405 Mansfield Rd
Shreveport, LA 71103-4107
Phone 71385000491053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1157LAMDClinical Psychologist
320660LAMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of Louisiana, LLC CurrentSince Feb 4, 2026 Accepting new patients
Senior Psychological Care of Louisiana, LLC Clinical CurrentSince Feb 4, 2026 Accepting new patients

Locations

3405 Mansfield Rd
Shreveport, LA 71103
Phone (318) 222-3100

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1295023125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700710795",
            "telephone_number": "225-323-5087",
            "fax_number": "866-453-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 SOUTH ALBERT STREET",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715245",
            "telephone_number": "225-323-5087",
            "fax_number": "866-453-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEZ",
        "first_name": "SUMER",
        "middle_name": "LEDET",
        "name_prefix": "Mrs.",
        "credential": "PH.D. M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1157",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "320660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMER",
            "last_name": "LEDET",
            "middle_name": "NOEL",
            "prefix": "MRS.",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutcher, LA

Sources for this page

Verify at the official NPI Registry.