Individual provider Active NPI

Thomas Michael Ward, LPC

  • Mental Health Counselor
  • Lake Charles, LA
National Provider Identifier
1376073239
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5714 Issued in LA
Practice address
2829 4TH Ave
Lake Charles, LA 70601-7887
Phone
(337) 477-7091
Fax
(337) 474-4552
NPI assigned
Jun 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5714 LA Primary

Addresses

Primary practice location

2829 4TH Ave
Lake Charles, LA 70601-7887

Mailing address

2829 4TH Ave
Lake Charles, LA 70601-7887
Phone (337) 477-7091

Other identifiers 2

IdentifierTypeStateIssuer
1551228MedicaidLA
1063569648OtherLAGROUP NPI

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
I20240429003075 LA Practitioner - Mental Health Counselor 1850768177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Acadian Holistic Services LLCGroup PAC ID 0042671950, 2 clinicians

Practice addresses (Care Compare)

Lake Charles, LA 70601
Phone (337) 429-5105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acadian Holistic Services LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

2829 4th Ave
#215
Lake Charles, LA 70601
Phone (337) 429-5105

500 Broad St
#213
Lake Charles, LA 70601
Phone (337) 429-5105

500 Broad St
Ste 213
Lake Charles, LA 70601

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376073239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 4TH AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017887",
            "telephone_number": "337-477-7091",
            "fax_number": "337-474-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 4TH AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017887",
            "telephone_number": "337-477-7091",
            "fax_number": "337-474-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551228",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1063569648",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.