Organization Active NPI

Melda-Claude Professional Counseling Center, Inc.

  • Professional Counselor
  • La Place, LA
National Provider Identifier
1619004397
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 1963 Issued in LA
Legal business name
MELDA-CLAUDE PROFESSIONAL COUNSELING CENTER, INC.
Practice address
425 W Airline Hwy Ste D Upper
La Place, LA 70068-3825
Phone
(985) 652-2052
Fax
(225) 869-8049
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. Judy Ann Petit, PH.D, LPC, LMFT, NCC
Title
Clinical Counselor
Phone
(985) 652-2052

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC 1963 LA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT 247 LA

Addresses

Primary practice location

425 W Airline Hwy Ste D Upper
La Place, LA 70068-3825

Mailing address

425 W Airline Hwy Ste D Upper
La Place, LA 70068-3825
Phone (985) 652-2052

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1619004397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W AIRLINE HWY STE D UPPER",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683825",
            "telephone_number": "985-652-2052",
            "fax_number": "225-869-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W AIRLINE HWY STE D UPPER",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683825",
            "telephone_number": "985-652-2052",
            "fax_number": "225-869-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELDA-CLAUDE PROFESSIONAL COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "PETIT",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "985-652-2052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LPC, LMFT, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "LPC 1963",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "LMFT 247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.