Active NPI
Lela Bryan Lemoine, LPC
- Developmental Therapist
- Minden, LA
National Provider Identifier
1639886286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 4074
- Practice address
- 1304 Turner St
Minden, LA 71055 - Phone
- (318) 268-2553
- NPI assigned
- Nov 2, 2022
- Last updated
- Nov 2, 2022
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 4074 | LA | Primary |
Addresses
Primary practice location
1304 Turner St
Minden, LA 71055
Mailing address
1304 Turner St
Minden, LA 71055
Phone (318) 268-2553
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 |
|---|---|---|---|
| 4074 | LA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1639886286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 TURNER ST",
"city": "MINDEN",
"state": "LA",
"postal_code": "71055",
"telephone_number": "318-268-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 TURNER ST",
"city": "MINDEN",
"state": "LA",
"postal_code": "71055",
"telephone_number": "318-268-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMOINE",
"first_name": "LELA",
"middle_name": "BRYAN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "LA",
"license": "4074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.