Individual provider Active NPI

Kelly Liner Derouen, LPC,LMFT,NCC,NCSC

  • Mental Health Counselor
  • Houma, LA
National Provider Identifier
1619996519
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2492 Issued in LA
Practice address
547 Bayou Dularge Road
Houma, LA 70363
Phone
(985) 876-5748
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2492 LA Primary
Professional Counselor 101YP2500X 2492 LA
School Counselor 101YS0200X 74931 LA
Marriage & Family Therapist 106H00000X 72 LA

Addresses

Primary practice location

547 Bayou Dularge Road
Houma, LA 70363

Mailing address

547 Bayou Dularge Road
Houma, LA 70363
Phone (985) 876-5748

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
72LAMDMental Health Counselor
74931LAMDSchool Counselor
2492LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Liner Derouen, LPC-S, LMFT, NCC, NCSC, Supervisor LLC Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619996519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 BAYOU DULARGE ROAD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70363",
            "telephone_number": "985-876-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 BAYOU DULARGE ROAD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70363",
            "telephone_number": "985-876-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROUEN",
        "first_name": "KELLY",
        "middle_name": "LINER",
        "credential": "LPC,LMFT,NCC,NCSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2492",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2492",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "LA",
            "license": "74931",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "72",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.