Active NPI
Theresa J Weary, PLPC
- Professional Counselor
- Thibodaux, LA
National Provider Identifier
1629570692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC8351
- Practice address
- 1418 Tiger Dr
Thibodaux, LA 70301-4337 - Phone
- (985) 449-4055
- NPI assigned
- Mar 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC8351 | LA | Primary |
Addresses
Primary practice location
1418 Tiger Dr
Thibodaux, LA 70301-4337
Mailing address
340 Camille Dr
Patterson, LA 70392-4111
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 |
|---|---|---|---|
| PLC8351 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Family Services LLC | 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.
-
- Community/Behavioral Health Agency
- Thibodaux, LA
- NPI 1508982455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1629570692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 CAMILLE DR",
"city": "PATTERSON",
"state": "LA",
"postal_code": "703924111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 TIGER DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014337",
"telephone_number": "985-449-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEARY",
"first_name": "THERESA",
"middle_name": "J",
"credential": "PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "LPC8351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.