Individual provider Active NPI

Sheena Deon Williams Hock, LAC, CCS, SAP

  • Addiction (Substance Use Disorder) Counselor
  • Gonzales, LA
National Provider Identifier
1457067399
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LAC-5091 Issued in LA
Practice address
524 S Burnside Ave
Gonzales, LA 70737-3448
Phone
(225) 257-4677
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-5091 LA Primary

Addresses

Primary practice location

524 S Burnside Ave
Gonzales, LA 70737-3448

Mailing address

17512 Golden Eagle Dr
Prairieville, LA 70769-6036
Phone (225) 931-9108

Other practice location 1

17512 Golden Eagle Dr
Prairieville, LA 70769-6036
Phone (225) 931-9108

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

LicenseStateTypeSpecialty
LAC-5091LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Development Center of Baton Rouge PastSince Oct 22, 2023 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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1457067399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17512 GOLDEN EAGLE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707696036",
            "telephone_number": "225-931-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373448",
            "telephone_number": "225-257-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17512 Golden Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707696036",
            "country_code": "US",
            "telephone_number": "225-931-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCK",
        "first_name": "SHEENA",
        "middle_name": "DEON WILLIAMS",
        "credential": "LAC, CCS, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC-5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 17, 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.

Verify at the official NPI Registry.