Individual provider Active NPI

Kristin Champine Pasqua, LPC

  • Mental Health Counselor
  • Thibodaux, LA
National Provider Identifier
1598266371
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9434 Issued in LA
Practice address
312 E Bayou Rd
Thibodaux, LA 70301-8036
Phone
(985) 446-5244
NPI assigned
Feb 26, 2018
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PLC9434 LA
Mental Health Counselor 101YM0800X 9434 LA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

312 E Bayou Rd
Thibodaux, LA 70301-8036

Mailing address

312 E Bayou Rd
Thibodaux, LA 70301-8036
Phone (985) 446-5244

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
PLC9434LAMDCounselor
9434LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1598266371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E BAYOU RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018036",
            "telephone_number": "985-446-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E BAYOU RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018036",
            "telephone_number": "985-446-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUA",
        "first_name": "KRISTIN",
        "middle_name": "CHAMPINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "PLC9434",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "9434",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.