Angela Landry, LCSW, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ANGELA LANDRY, LCSW, LLC

Practice address

5687 Commerce Street
Suite 7
St. Francisville, LA 70775

Phone

(225) 245-5040

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Angela Landry, LCSWNPI 1114464831

Title

Owner

Phone

(225) 718-9525

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Landry, LCSW

  • Mental Health Counselor
  • St. Francisville, LA
  • NPI 1114464831
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1396267233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2162",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707752162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5687 COMMERCE STREET",
            "address_2": "SUITE 7",
            "city": "ST. FRANCISVILLE",
            "state": "LA",
            "postal_code": "70775",
            "telephone_number": "225-245-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA LANDRY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-718-9525",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "11067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452762",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in St. Francisville, LA
• Providers in St. Francisville, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.