NPIMap

Organization Active NPI

Tishlinn S Fountain, LLC

  • Mental Health Counselor
  • Gretna, LA
National Provider Identifier
1396281077
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5971 Issued in LA
Legal business name
TISHLINN S FOUNTAIN, LLC
Doing business as
T.A. Sims Therapy & Support Services LLC
Practice address
401 Whitney Ave
Ste 409
Gretna, LA 70056-2558
Phone
(504) 362-9010
Fax
(504) 362-9070
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Ms. Tishlinn S Fountain, LPC
Title
Owner
Phone
(504) 312-9388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 5971 LA Primary

Addresses

Primary practice location

401 Whitney Ave
Ste 409
Gretna, LA 70056-2558

Mailing address

401 Whitney Ave
Ste 409
Gretna, LA 70056-2558
Phone (504) 362-9010

Other names 1

  • T.A. Sims Therapy & Support Services LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1396281077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE",
            "address_2": "STE 409",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562558",
            "telephone_number": "504-362-9010",
            "fax_number": "504-362-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE",
            "address_2": "STE 409",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562558",
            "telephone_number": "504-362-9010",
            "fax_number": "504-362-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISHLINN S FOUNTAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "TISHLINN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-312-9388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.A. Sims Therapy & Support Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.