Tiffany Lynn Thibodeaux, LPC-S, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5124 Issued in LA

Practice address

17534 Old Jefferson Hwy Ste B2
Prairieville, LA 70769-3978

Phone

(225) 244-9110

Fax

(504) 335-0775

NPI assigned

Oct 30, 2012

Last updated

Feb 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Mar 23, 2026 through Mar 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tiffany Thibodeaux LLC

  dba Prairieville Counseling

  • Professional Counselor
  • Prairieville, LA
  • NPI 1679162374
  NPD Authorized official

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1477807451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17534 OLD JEFFERSON HWY STE B2",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693978",
            "telephone_number": "225-244-9110",
            "fax_number": "504-335-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17534 OLD JEFFERSON HWY STE B2",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693978",
            "telephone_number": "225-244-9110",
            "fax_number": "504-335-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.