Organization Active NPI

Headspace Counseling & Recovery LLC

  • Counseling Psychologist
  • Lafayette, LA
National Provider Identifier
1548906381
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
HEADSPACE COUNSELING & RECOVERY LLC
Practice address
113 Flagg PL Ste B
Lafayette, LA 70508-7025
Phone
(337) 349-1218
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Mrs. Lindsey A Guillory, LPC LAC
Title
Owner
Phone
(337) 349-1218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

113 Flagg PL Ste B
Lafayette, LA 70508-7025

Mailing address

302 Anslem Dr
Youngsville, LA 70592-5380
Phone (337) 349-1218

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@lotuscounselingrecovery.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1548906381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ANSLEM DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925380",
            "telephone_number": "337-349-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 FLAGG PL STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087025",
            "telephone_number": "337-349-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADSPACE COUNSELING & RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-349-1218",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC LAC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@lotuscounselingrecovery.com",
            "affiliation": "N",
            "address_1": "113 Flagg Pl Ste B",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705087025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.