Active NPI
Linda R Landry, RN, LAC, CCS
- Counselor
- Thibodaux, LA
National Provider Identifier
1396760336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CCS#010
- Practice address
- 303 Hickory St
Thibodaux, LA 70301-2011 - Phone
- (985) 447-0851
- Fax
- (985) 447-0971
- NPI assigned
- Jul 12, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CCS#010 | LA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 830 | LA | |
| Registered Nurse | 163W00000X | RN071762 | LA |
Addresses
Primary practice location
303 Hickory St
Thibodaux, LA 70301-2011
Mailing address
303 Hickory St
Thibodaux, LA 70301-2011
Phone (985) 447-0851
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCS#010 | LA | MD | Counselor |
| 830 | LA | MD | Addiction (Substance Use Disorder) Counselor |
| RN071762 | LA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1396760336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 HICKORY ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012011",
"telephone_number": "985-447-0851",
"fax_number": "985-447-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 HICKORY ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012011",
"telephone_number": "985-447-0851",
"fax_number": "985-447-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "LINDA",
"middle_name": "R",
"credential": "RN, LAC, CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "CCS#010",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "830",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN071762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.