Active NPI
Suzette A Nielson, LPC
- Professional Counselor
- Bogalusa, LA
National Provider Identifier
1437849924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3978
- Practice address
- 216 Memphis St
Bogalusa, LA 70427-3844 - Phone
- (985) 735-0160
- Fax
- (985) 735-0970
- NPI assigned
- May 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3978 | LA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3978 | LA | |
| Mental Health Counselor | 101YM0800X | 3978 | LA | |
| Professional Counselor | 101YP2500X | 3978 | LA | Primary |
Addresses
Primary practice location
216 Memphis St
Bogalusa, LA 70427-3844
Mailing address
216 Memphis St
Bogalusa, LA 70427-3844
Phone (985) 735-0160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3978 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1437849924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 MEMPHIS ST",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273844",
"telephone_number": "985-735-0160",
"fax_number": "985-735-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MEMPHIS ST",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273844",
"telephone_number": "985-735-0160",
"fax_number": "985-735-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "SUZETTE",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "3978",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "3978",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "3978",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.