Active NPI
Sanctuary Counseling Services LLC
- Mental Health Counselor
- Gretna, LA
National Provider Identifier
1619432788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SANCTUARY COUNSELING SERVICES LLC
- Practice address
- 1500 Lafayette St Ste 156
Gretna, LA 70053-5778 - Phone
- (504) 608-4769
- Fax
- (504) 336-3418
- NPI assigned
- Feb 4, 2019
- Last updated
- Jul 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morgan Lynne Wangerin
- Title
- Ceo/LPC-S
- Phone
- (504) 317-1038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1500 Lafayette St Ste 156
Gretna, LA 70053-5778
Mailing address
1500 Lafayette St Ste 156
Gretna, LA 70053-5778
Phone (504) 608-4769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3950405 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mwangerin@sanctuary-counseling.direct.consensus.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1500 Lafayette St
Ste 156
Gretna, LA 70053
Phone (504) 408-1618
1901 Manhattan Blvd
Ste 115
Harvey, LA 70058
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Gretna, LA
- NPI 1699146522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1619432788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LAFAYETTE ST STE 156",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535778",
"telephone_number": "504-608-4769",
"fax_number": "504-336-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LAFAYETTE ST STE 156",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535778",
"telephone_number": "504-608-4769",
"fax_number": "504-336-3418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-04",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "WANGERIN",
"authorized_official_first_name": "MORGAN",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "CEO/LPC-S",
"authorized_official_telephone_number": "504-317-1038"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3950405",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mwangerin@sanctuary-counseling.direct.consensus.com",
"affiliation": "N",
"endpointDescription": "Concensus",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Lafayette St Ste 156",
"city": "Gretna",
"state": "LA",
"country_code": "US",
"postal_code": "700535778",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.