Tina Chaisson, LPC – Mental Health Counselor

Key facts

NPI: 1295101665
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 2500 (LA)
Practice address: 13101 River Rd
Luling, LA 70070-4165
Phone: (985) 331-1999
Fax: (985) 331-2353
NPI assigned: Aug 19, 2015
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

The Center for Family and Youth Services Inc Professional Counselor · Luling, LA · NPI 1164798880

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2500	LA	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
The Center for Family and Youth Services Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	2500	LA	Yes

Addresses

Primary practice location

13101 River Rd
Luling, LA 70070-4165

Mailing address

3 W Woodlawn Dr
Destrehan, LA 70047-2535

Other identifiers

Identifier	Type	State	Issuer
11676401	Other	LA	CAQH
793696000	Medicaid	LA

Other providers in Luling, LA

All providers in Luling, LA · Mental Health Counselor in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.