Anastatia Theriot, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

9012 Issued in LA

Practice address

11161 Cambre Oaks Dr
Gonzales, LA 70737-6336

Phone

(985) 686-0268

Fax

(985) 686-0268

NPI assigned

Mar 3, 2022

Last updated

Sep 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern Hope Family Services, LLC

  • Mental Health Counselor
  • Gonzales, LA
  • NPI 1245164342
  NPD Authorized official
• Magnolia Family Services LLC

  • Community/Behavioral Health Agency
  • Thibodaux, LA
  • NPI 1508982455
  NPD (past)

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1417604067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 CAMBRE OAKS DR",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376336",
            "telephone_number": "985-686-0268",
            "fax_number": "985-686-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 CAMBRE OAKS DR",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376336",
            "telephone_number": "985-686-0268",
            "fax_number": "985-686-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 Tiger Dr",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703014337",
            "country_code": "US",
            "telephone_number": "985-449-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "ANASTATIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "9012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The R.O.C.K. Outreach LLC.
• The Rehab Group, LLC
• The Speech Agency Co.
• Arekeva Theodore-Selmon, NP
• Therapy One, LLC
• Donovan Thierry
• Laura D Thiesen, LCSW
• Thomas L. Ewing MD, Apmc (Ascension Urology)
• Dion Thomas
• Latesha Braud Thomas, PHARM.D.

• Counselor in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.