Individual provider Active NPI

Tessia Guillory Requena-Ozene

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1356865125
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8147 Issued in LA
Practice address
1405 W Pinhook Rd Ste 107H
Lafayette, LA 70503-3100
Phone
(337) 534-0770
NPI assigned
Aug 2, 2017
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8147 LA Primary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1405 W Pinhook Rd Ste 107H
Lafayette, LA 70503-3100

Mailing address

PO Box 128
Youngsville, LA 70592-0128
Phone (337) 550-5309

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
I20250610001245 LA Practitioner - Mental Health Counselor 7810407764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8147LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Wellness Consulting LLC CurrentSince Jan 21, 2024 Accepting new patients
Brightside Medical, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Insight Guidance Group Mental Health PastSince Jul 24, 2018 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

814 SW Evangeline Trwy
Lafayette, LA 70501
Phone (337) 222-3707

Organizations & group practices 3

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1356865125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705920128",
            "telephone_number": "337-550-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W PINHOOK RD STE 107H",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033100",
            "telephone_number": "337-534-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUENA-OZENE",
        "first_name": "TESSIA",
        "middle_name": "GUILLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8147",
            "primary": true
        },
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.