Active NPI
Victoria Ellender, PLPC
- Mental Health Counselor
- Lake Charles, LA
National Provider Identifier
1295530269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PLPC10545
- Practice address
- 815 University Dr
Lake Charles, LA 70605-6141 - Phone
- (337) 476-9599
- Fax
- (337) 888-9853
- NPI assigned
- Feb 14, 2025
- 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 | PLPC10545 | LA | Primary |
Addresses
Primary practice location
815 University Dr
Lake Charles, LA 70605-6141
Mailing address
1516 Rose LN
Sulphur, LA 70663-6150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLPC10545 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1295530269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 ROSE LN",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706636150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 UNIVERSITY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056141",
"telephone_number": "337-476-9599",
"fax_number": "337-888-9853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLENDER",
"first_name": "VICTORIA",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLPC10545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.