Active NPI
Kelly Liner Derouen, LPC,LMFT,NCC,NCSC
- Mental Health Counselor
- Houma, LA
National Provider Identifier
1619996519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2492
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 72 | LA | MD | Mental Health Counselor |
| 74931 | LA | MD | School Counselor |
| 2492 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Houma, LA
- NPI 1073530903
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.