Individual provider Active NPI

Eddie Earl Wright Jr., LPC, M.A.

  • Professional Counselor
  • Hammond, LA
National Provider Identifier
1306295829
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8401 Issued in LA
Practice address
16068 Lamonte Dr # 200B
Hammond, LA 70403-1404
Phone
(337) 502-8345
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 8401 LA Primary

Addresses

Primary practice location

16068 Lamonte Dr # 200B
Hammond, LA 70403-1404

Mailing address

16068 Lamonte Dr # 200B
Hammond, LA 70403-1404
Phone (337) 502-8345

Other names 1

  • Mr. Eddie Earl Wright Jr. Professional name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8401LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Just Like You, LLC Professional CurrentSince Mar 5, 2023 Accepting new patients

Locations

16068 Lamonte Dr
#200B
Hammond, LA 70403
Phone (337) 502-8345

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, 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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1306295829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16068 LAMONTE DR # 200B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031404",
            "telephone_number": "337-502-8345",
            "fax_number": "337-437-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16068 LAMONTE DR # 200B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031404",
            "telephone_number": "337-502-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "EDDIE",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC, M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDIE",
            "last_name": "WRIGHT",
            "middle_name": "EARL",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "LPC, M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; 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.