Active NPI
Mary Elise Trahan, LAC
- Addiction (Substance Use Disorder) Counselor
- Lafayette, LA
National Provider Identifier
1356900013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 501 W Saint Mary Blvd Ste 210
Lafayette, LA 70506-4699 - Phone
- (337) 233-1114
- NPI assigned
- Jun 6, 2019
- Last updated
- Jun 6, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
501 W Saint Mary Blvd Ste 210
Lafayette, LA 70506-4699
Mailing address
PO Box 53388
Lafayette, LA 70505-3388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1582 | Other | LA | STATE - LICENSED ADDICTION COUNSELOR |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Specialists | Past | Accepting new patients | |
| Lake Professionals LLC | Past | Accepting new patients | |
| Lake Wellness Center, LLC | Past | Accepting new patients | |
| Lake Wellness Center, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Physician
- Metairie, LA
- NPI 1265198543
-
- General Practice Physician
- Lafayette, LA
- NPI 1497313670
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Metairie, LA
- NPI 1518424258
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Boutte, LA
- NPI 1740824507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1356900013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53388",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705053388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W SAINT MARY BLVD STE 210",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064699",
"telephone_number": "337-233-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAHAN",
"first_name": "MARY",
"middle_name": "ELISE",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE - LICENSED ADDICTION COUNSELOR",
"identifier": "1582",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.