Gemmalyn Pryor

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

101 Feu Follet Rd Ste 100
Lafayette, LA 70508

Phone

(337) 234-8455

NPI assigned

May 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Cognitive Development Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tallulah, LA
  • NPI 1538236328
  NPD Authorized official
• Cognitive Development Center Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1992187322
  Authorized official Same address or phone
• Cognitive Development Center of Baton Rouge

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1467745000
  Authorized official Same address or phone
• Fairway Counseling Agency, Inc.

  dba Phoenix Family Life Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, LA
  • NPI 1912281031
  Authorized official Same address or phone
• Cognitive Development

  dba Seaside

  • Case Management Agency
  • Tallulah, LA
  • NPI 1407504491
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1386099877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FEU FOLLET RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084234",
            "telephone_number": "337-234-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FEU FOLLET RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-234-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Kaliste Saloom Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705084230",
            "country_code": "US",
            "telephone_number": "337-234-7109",
            "fax_number": "337-234-7898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 Dacoma St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770928611",
            "country_code": "US",
            "telephone_number": "337-257-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 Hollier Rd",
            "address_purpose": "LOCATION",
            "city": "Duson",
            "state": "LA",
            "postal_code": "705293329",
            "country_code": "US",
            "telephone_number": "337-257-6185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "GEMMALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467745000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latassia Provitt
• Jillian Provost, DC
• Paul Roland Provost, RPH
• Matthew Prudhomme
• Rebecca Brock Prudhomme, PHARMD
• Psychiatric Associates of Lafayette, LLC
• Psychiatric Associates of Southwest Louisiana
• Psychological Insight LLC
• PT Advancements, LLC
• PT Pros, Inc.

• Case Manager/Care Coordinator in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.