Elsie Ann Gaudreault, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18135 Issued in TX

Practice address

3905 Gable LN
723
Fort Worth, TX 76155-2829

Phone

(817) 240-7883

NPI assigned

Oct 3, 2006

Last updated

Sep 28, 2009By 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

Other names 1

• Mrs. Ann Gaudreault Professional 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1548355928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 MONTE VISTA LN",
            "address_2": "932",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761325419",
            "telephone_number": "817-240-7883",
            "fax_number": "817-922-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 GABLE LN",
            "address_2": "723",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761552829",
            "telephone_number": "817-240-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDREAULT",
        "first_name": "ELSIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "GAUDREAULT",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thomas Gerald Gates, MD
• Gateway Chiropractic LLC
• Donicha Barbara Gatewood, LVN
• Madison Gatewood
• Michele Gaudette, RN,IBCLC
• Madeleine Gault
• Emily Anne Gaume
• Ashmita Gautam
• Manjushree Gautam, M.D.
• Pradip Gautam, MD

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.