Bernetta V Victorian, LAC, CCGC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LAC 817 Issued in LA

Practice address

220 S Market St
Opelousas, LA 70570-5140

Phone

(337) 948-0226

Fax

(337) 948-0303

NPI assigned

Feb 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Bernetta Gray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1467725085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S MARKET ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705140",
            "telephone_number": "337-948-0226",
            "fax_number": "337-948-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MARKET ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705140",
            "telephone_number": "337-948-0226",
            "fax_number": "337-948-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIAN",
        "first_name": "BERNETTA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LAC, CCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "CCGC 1005",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC 817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNETTA",
            "last_name": "GRAY",
            "prefix": "MRS.",
            "credential": "LAC, CCGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Salvador H Vazquez, MD
• Kalyan Kumar Veerina, MD
• Wade Randall Veillon, PHARMACIST
• E. Karl Ventre III, M.D.
• Daniel Louis Verret, PA
• Bridgette Michelle Vidrine, D.D.S.
• Calvin Dale Vidrine, CRA RJ RN
• Dawana Mary Vidrine, LPN
• Samantha Lavergne Vidrine, M.D.
• Vikram S Parmar MD

• Addiction (Substance Use Disorder) Counselor in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.