Colin Brea Theriot Hanover, M.ED., NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6468 Issued in LA

Practice address

850 Kaliste Saloom Rd Ste 219
Lafayette, LA 70508-4230

Phone

(337) 504-4974

Fax

(337) 456-2434

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acadian Counseling Center, LLC

  • Mental Health Counselor
  • Lafayette, LA
  • NPI 1366853376
  NPD
• Always Hope LLC

  • Professional Counselor
  • Prairieville, LA
  • NPI 1437766573
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1598376907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31301 LA HWY 3143",
            "city": "GUEYDAN",
            "state": "LA",
            "postal_code": "705425652",
            "telephone_number": "337-230-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD STE 219",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-504-4974",
            "fax_number": "337-456-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIOT HANOVER",
        "first_name": "COLIN",
        "middle_name": "BREA",
        "credential": "M.ED., NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3485761",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@acadiancounselingcenter.com",
            "affiliation": "Y",
            "affiliationName": "Acadian Counseling Center, LLC",
            "address_1": "850 Kaliste Saloom Rd Ste 219",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705084230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rhett Theobald
• Latoya Theodile
• Therapeutic Solutions of Louisiana
• Therese L. Ritter, M.D. & Associates, Apmc
• Theriot Family Dental Care
• John C Theriot, D.D.S.
• Naomi Pontiff Theriot, M.A., CCC-A
• Norma T. Theriot
• Rebecca B Theriot, APN
• Stefanie Hummel Theriot, PA-C

• Mental Health Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.