Individual provider Active NPI

Sara Trahan, MS, LPC

  • Mental Health Counselor
  • Lafayette, LA
National Provider Identifier
1417592676
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6702 Issued in LA
Practice address
515B Verot School Rd Ste 2
Lafayette, LA 70508-5271
Phone
(337) 247-7272
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6702 LA Primary

Addresses

Primary practice location

515B Verot School Rd Ste 2
Lafayette, LA 70508-5271

Mailing address

PO Box 81051
Lafayette, LA 70598-1051

Other identifiers 1

IdentifierTypeStateIssuer
1417592676OtherLANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL mentalhealthgrowth@gmail.com Direct

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
Master of Science

State licenses

LicenseStateTypeSpecialty
6702LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trahan Mental Health Services LLC CurrentSince Jan 17, 2021 Accepting new patients

Locations

515B Verot School Rd
Ste 2
Lafayette, LA 70508
Phone (337) 247-7272

1011 Harding St
Lafayette, LA 70503
Phone (337) 591-7563

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1417592676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81051",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515B VEROT SCHOOL RD STE 2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085271",
            "telephone_number": "337-247-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "SARA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417592676",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "mentalhealthgrowth@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct mail",
            "address_1": "515B Verot School Rd Ste 2",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705085271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.