Individual provider Active NPI

Tanya T Porter, MS, LPC

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1417459538
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8201 Issued in LA
Practice address
108 Exchange PL Ste 290
Lafayette, LA 70503-2558
Phone
(337) 541-2689
Fax
(337) 777-1577
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LA
Professional Counselor 101YP2500X 8201 LA Primary

Addresses

Primary practice location

108 Exchange PL Ste 290
Lafayette, LA 70503-2558

Mailing address

1325 Wright Ave Ste D
Crowley, LA 70526-2226
Phone (337) 514-5181

Other practice location 1

622 Riverside Dr
Monroe, LA 71201-6211
Phone (337) 514-5181

Other practice location 2

1325 Wright Ave Ste D
Crowley, LA 70526-2226
Phone (337) 514-5181

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
I20241203001163 LA Practitioner - Mental Health Counselor 1456886282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8201LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Empower Counseling Single Specialty CurrentSince Jan 15, 2021 Accepting new patients

Locations

108 Exchange Pl
Ste 290
Lafayette, LA 70503
Phone (337) 541-2689

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1417459538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE STE D",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-514-5181",
            "fax_number": "337-514-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EXCHANGE PL STE 290",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032558",
            "telephone_number": "337-541-2689",
            "fax_number": "337-777-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016211",
            "country_code": "US",
            "telephone_number": "337-514-5181",
            "fax_number": "337-514-5182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Wright Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "LA",
            "postal_code": "705262226",
            "country_code": "US",
            "telephone_number": "337-514-5181",
            "fax_number": "337-514-5182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TANYA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.