Individual provider Active NPI

Brenda Poche, LPC, NCC, CCTP

  • Mental Health Counselor
  • Lafayette, LA
National Provider Identifier
1407692726
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8577 Issued in LA
Practice address
143 Ridgeway Dr Ste 106
Lafayette, LA 70503-3410
Phone
(337) 993-1960
NPI assigned
Jul 5, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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 8577 LA Primary

Addresses

Primary practice location

143 Ridgeway Dr Ste 106
Lafayette, LA 70503-3410

Mailing address

204 Abaco LN
Lafayette, LA 70508-8154
Phone (337) 288-7784

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
I20241028003193 LA Practitioner - Mental Health Counselor 5890228977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

143 Ridgeway Dr
Suite 106
Lafayette, LA 70503-3410
Phone (337) 362-3363

3312 Kaliste Saloom Rd
Lafayette, LA 70508-7449
Phone (337) 534-0727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8577LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Poche Licensed Professional Counselor, LLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

143 Ridgeway Dr
Ste 106
Lafayette, LA 70503
Phone (337) 362-3363

3312 Kaliste Saloom Rd
#1
Lafayette, LA 70508
Phone (337) 534-0727

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": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1407692726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ABACO LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088154",
            "telephone_number": "337-288-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DR STE 106",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033410",
            "telephone_number": "337-993-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCHE",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.