Mashezia Janese Vincent, NCC, LPC
Individual provider Active NPI Professional Counselor · Covington, LA
NPI 1649527474 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1649527474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6025 (LA)
- Practice address
- 222 N Vermont St Ste O
Covington, LA 70433 - Phone
- (985) 273-0895
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6025 | LA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- masheziavincent@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6025 | LA | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
222 N Vermont St Ste O
Covington, LA 70433
Mailing address
400 Brown Thrasher Loop S
Madisonville, LA 70447-3037
Phone (985) 273-0895
Other names
- Ms. Mashezia Janese Boyd
Other providers in Covington, LA
- John H Verhulst
- Victoria Prather, LLC
- Carlos M Vides Jr.
- Kelly Villars
- Heath Villere
- Landin Vincifora
- Liam Edward Vincifora
- Shannon Leigh Vinson
- Laken Viola
- Vision Care Plus Inc.
All providers in Covington, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.