Individual provider Active NPI

Mary C Dermody, LPC,LMFT,NCC,MA

  • Mental Health Counselor
  • Metairie, LA
National Provider Identifier
1487705257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2146 Issued in LA
Practice address
1217 Hesper Ave
Metairie, LA 70005-1555
Phone
(504) 554-1346
Fax
(504) 304-8470
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2146 LA Primary

Addresses

Primary practice location

1217 Hesper Ave
Metairie, LA 70005-1555

Mailing address

1217 Hesper Ave
Metairie, LA 70005-1555
Phone (504) 554-1346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401001517 LA Practitioner - Mental Health Counselor 0840638540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2955 Ridgelake Dr
Suite 204
Metairie, LA 70002-4962
Phone (504) 554-1346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Transition Counseling LLC Mental Health CurrentSince Feb 17, 2024 Accepting new patients

Locations

2955 Ridgelake Dr
Ste 204
Metairie, LA 70002
Phone (504) 554-1346

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487705257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 HESPER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700051555",
            "telephone_number": "504-554-1346",
            "fax_number": "504-304-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 HESPER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700051555",
            "telephone_number": "504-554-1346",
            "fax_number": "504-304-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMODY",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LPC,LMFT,NCC,MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.