Individual provider Active NPI

Monetta Latrice Givens, LPC

  • Professional Counselor
  • Bastrop, LA
National Provider Identifier
1649387671
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4654 Issued in LA
Practice address
451 E Madison Ave
Bastrop, LA 71220-3829
Phone
(318) 283-0868
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 987 LA
Professional Counselor 101YP2500X 4654 LA Primary

Addresses

Primary practice location

451 E Madison Ave
Bastrop, LA 71220-3829

Mailing address

451 E Madison Ave
Bastrop, LA 71220-3829
Phone (318) 283-0868

Other practice location 1

4781 S Grand St
Monroe, LA 71202-6403
Phone (318) 362-4503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001144 LA Practitioner - Mental Health Counselor 4385088319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

451 E Madison Ave
Bastrop, LA 71220-3829
Phone (318) 283-0868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4654LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Delta Human Services Authority Current Accepting new patients
Northeast Delta Human Services Authority CurrentSince Jan 15, 2024 Accepting new patients
Northeast Delta Human Services Authority CurrentSince Jan 15, 2024 Accepting new patients

Locations

451 E Madison Ave
Bastrop, LA 71220
Phone (318) 283-0868

2513 Ferrand St
Monroe, LA 71201
Phone (318) 362-3270

4800 S Grand St
Monroe, LA 71202
Phone (318) 362-3339

Organizations & group practices 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1649387671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203829",
            "telephone_number": "318-283-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203829",
            "telephone_number": "318-283-0868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4781 S Grand St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712026403",
            "country_code": "US",
            "telephone_number": "318-362-4503",
            "fax_number": "318-362-5428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "MONETTA",
        "middle_name": "LATRICE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "987",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.