NPIMap

Organization Active NPI

Lyn Hassenboehler, LCSW Counseling Services, LLC

  • Clinical Social Worker
  • Gonzales, LA
National Provider Identifier
1437555042
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3340 Issued in LA
Legal business name
LYN HASSENBOEHLER, LCSW COUNSELING SERVICES, LLC
Practice address
12320 Highway 44
BLDG 3D
Gonzales, LA 70737-2202
Phone
(225) 456-0093
Fax
(888) 494-0963
NPI assigned
Nov 10, 2014
Last updated
Aug 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Ms. Lyn Hassenboehler, LCSWNPI 1356768121
Title
Clinical Social Worker
Phone
(225) 456-0093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3340 LA Primary
Community/Behavioral Health Agency 251S00000X 3340 LA

Addresses

Primary practice location

12320 Highway 44
BLDG 3D
Gonzales, LA 70737-2202

Mailing address

12320 Highway 44
BLDG 3D
Gonzales, LA 70737-2202
Phone (225) 456-0093

Other identifiers 1

IdentifierTypeStateIssuer
600944303MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1437555042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44",
            "address_2": "BLDG 3D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-456-0093",
            "fax_number": "888-494-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44",
            "address_2": "BLDG 3D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-456-0093",
            "fax_number": "888-494-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYN HASSENBOEHLER, LCSW COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "HASSENBOEHLER",
        "authorized_official_first_name": "LYN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "225-456-0093",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3340",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "3340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600944303",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.