Active NPI
Kortney Broussard Chevalier, LPC-S
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1609269992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5313
- Practice address
- 1011 Harding St
Lafayette, LA 70503 - Phone
- (337) 591-7563
- Fax
- (337) 247-9706
- NPI assigned
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5313 | LA | |
| Professional Counselor | 101YP2500X | 5313 | LA | Primary |
Addresses
Primary practice location
1011 Harding St
Lafayette, LA 70503
Mailing address
208 Devon Way
Youngsville, LA 70592-5473
Phone (337) 591-7563
Other practice location 1
212 Guilbeau Rd
Lafayette, LA 70506-6141
Phone (337) 591-7563
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5313 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspirational Community Outreach LLC | Current | Accepting new patients | |
| Kortneys Kounseling Services, LLC | Professional | Current | Accepting new patients |
| Essential Care Services, LLC | Past | Accepting new patients |
Locations
1011 Harding St
Lafayette, LA 70503
Phone (337) 591-7563
Organizations & group practices 3
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.
-
- Professional Counselor
- Lafayette, LA
- NPI 1407499213
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baker, LA
- NPI 1528463064
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Orleans, LA
- NPI 1447402144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1609269992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 DEVON WAY",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925473",
"telephone_number": "337-591-7563",
"fax_number": "337-247-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 HARDING ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-591-7563",
"fax_number": "337-247-9706"
}
],
"practiceLocations": [
{
"address_1": "212 Guilbeau Rd",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705066141",
"country_code": "US",
"telephone_number": "337-591-7563",
"fax_number": "888-821-4205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEVALIER",
"first_name": "KORTNEY",
"middle_name": "BROUSSARD",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "5313",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Brooke Quirk Chehotsky, RN
- Yu-Cheng Jeffrey Chen, M.D.
- Sai Sudhakar Chennamsetty, M.D.
- Cheryl Henry-Smith LLC
- Claire E Chevalier
- Children Health Care Clinic of Acadiana
- Children'S Critical Care Network of Louisiana
- Children'S Multi-Specialty Group LLC
- Childrens Clinic of Acadiana LLC
- Childrens Emergency Medicine Network of Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.