Individual provider Active NPI

Dedra N Louis, LPC

  • Mental Health Counselor
  • New Orleans, LA
National Provider Identifier
1629338504
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4480 Issued in LA
Practice address
3308 Tulane Ave Ste 305
New Orleans, LA 70119
Phone
(504) 410-5033
NPI assigned
May 24, 2012
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4480 LA Primary
Professional Counselor 101YP2500X 4480 LA
School Counselor 101YS0200X 4480 LA

Addresses

Primary practice location

3308 Tulane Ave Ste 305
New Orleans, LA 70119

Mailing address

3308 Tulane Ave Ste 305
New Orleans, LA 70119-7191

Other practice location 1

615 Baronne St Ste 304
New Orleans, LA 70113-1054
Phone (504) 814-8001

Other practice location 2

549 HC/Baach
Unit 15245
Apo, AP 96271
Phone (504) 638-2478

Other practice location 3

310 Huey P Long Ave Ste 111
Gretna, LA 70053-5971
Phone (504) 410-5033

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
4480LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New Orleans Counseling Services Professional Past Accepting new patients
Creed Group of Louisiana LLC PastSince Mar 13, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1629338504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 TULANE AVE STE 305",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 TULANE AVE STE 305",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-410-5033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Baronne St Ste 304",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701131054",
            "country_code": "US",
            "telephone_number": "504-814-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "549 HC/BAACH",
            "address_2": "Unit 15245",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "country_code": "US",
            "telephone_number": "504-638-2478",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "310 Huey P Long Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700535971",
            "country_code": "US",
            "telephone_number": "504-410-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "DEDRA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4480",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4480",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "LA",
            "license": "4480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.