Individual provider Active NPI

Christian Nicole Gullette

  • Addiction (Substance Use Disorder) Counselor
  • West Monroe, LA
National Provider Identifier
1346987542
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
205 Grayson St
West Monroe, LA 71292-6231
Phone
(318) 570-5907
NPI assigned
May 18, 2022
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

205 Grayson St
West Monroe, LA 71292-6231

Mailing address

217 Alta Mira Dr
West Monroe, LA 71291-9798
Phone (318) 680-0375

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Christian@milestone-recovery.con

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Therapy LLC CurrentSince Oct 20, 2024 Accepting new patients
Arise Therapy LLC Addiction (Substance Use Disorder) Current Accepting new patients

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1346987542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ALTA MIRA DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919798",
            "telephone_number": "318-680-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRAYSON ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712926231",
            "telephone_number": "318-570-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLETTE",
        "first_name": "CHRISTIAN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Christian@milestone-recovery.con",
            "affiliation": "N",
            "address_1": "1805 Martin Luther King Jr Dr",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712024517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.