Individual provider Active NPI

Andrea Danelle Vermillion-Guy, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, LA
National Provider Identifier
1578653184
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1223 Issued in LA
Practice address
1917 Stubbs Ave
Monroe, LA 71201-5729
Phone
(318) 538-1240
NPI assigned
Oct 13, 2006
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1223 LA Primary

Addresses

Primary practice location

1917 Stubbs Ave
Monroe, LA 71201-5729

Mailing address

603 Eason PL
Monroe, LA 71201-2703
Phone (318) 237-0287

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

State licenses

LicenseStateTypeSpecialty
1223LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1578653184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 EASON PL",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012703",
            "telephone_number": "318-237-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015729",
            "telephone_number": "318-538-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION-GUY",
        "first_name": "ANDREA",
        "middle_name": "DANELLE",
        "name_prefix": "Ms.",
        "credential": "CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.