Organization Active NPI

Sanctuary Counseling Services LLC

  • Mental Health Counselor
  • Gretna, LA
National Provider Identifier
1619432788
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3950405MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mwangerin@sanctuary-counseling.direct.consensus.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.