Active NPI
Tiara Roussel Collins
- Mental Health Counselor
- Westwego, LA
National Provider Identifier
1508388570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 401 Modern Farms Rd
Westwego, LA 70094-2371 - Phone
- (504) 275-8738
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Counselor | 101Y00000X | LA |
Addresses
Primary practice location
401 Modern Farms Rd
Westwego, LA 70094-2371
Mailing address
401 Modern Farms Rd
Westwego, LA 70094-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376805440 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1508388570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MODERN FARMS RD",
"city": "WESTWEGO",
"state": "LA",
"postal_code": "700942371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MODERN FARMS RD",
"city": "WESTWEGO",
"state": "LA",
"postal_code": "700942371",
"telephone_number": "504-275-8738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "TIARA",
"middle_name": "ROUSSEL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376805440",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westwego, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.