Individual provider Active NPI

Kiana Marie Washington, LPC

  • Professional Counselor
  • La Place, LA
National Provider Identifier
1508100454
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6336 Issued in LA
Practice address
429 W Airline Hwy Ste U
La Place, LA 70068-3817
Phone
(985) 224-3691
Fax
(504) 544-0223
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6336 LA Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6336 LA

Addresses

Primary practice location

429 W Airline Hwy Ste U
La Place, LA 70068-3817

Mailing address

166 Tuscany Dr
La Place, LA 70068-8412
Phone (985) 210-6487

Other practice location 1

166 Tuscany Dr
LA Place, LA 70068-8412
Phone (985) 210-6487

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
I20240927000784 LA Practitioner - Mental Health Counselor 2860932589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

429 W Airline Hwy
U
La Place, LA 70068-3817
Phone (985) 224-3691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6336LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Counseling and Consulting Services Mental Health CurrentSince Aug 1, 2018 Accepting new patients
Access Health Louisiana Single Specialty Past Accepting new patients
Access Health Louisiana PastSince Nov 3, 2019 Accepting new patients
Access Health Louisiana Mental Health Past Accepting new patients
Access Health Louisiana PastSince Jan 26, 2020 Accepting new patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana PastSince Jan 26, 2020 Accepting new patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana PastSince Sep 11, 2022 Accepting new patients
Access Health Louisiana PastSince Jan 26, 2020 Accepting new patients

Locations

429 W Airline Hwy
#U
La Place, LA 70068
Phone (985) 224-3691

Interoperability endpoints

  • Direct secure messaging: kiana.washington.1@11331.direct.athenahealth.com

Organizations & group practices 10

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1508100454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 TUSCANY DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700688412",
            "telephone_number": "985-210-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W AIRLINE HWY STE U",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683817",
            "telephone_number": "985-224-3691",
            "fax_number": "504-544-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Tuscany Dr",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700688412",
            "country_code": "US",
            "telephone_number": "985-210-6487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KIANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6336",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.