Healthy Avenues Medical Group LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEALTHY AVENUES MEDICAL GROUP LLC

Practice address

3303 Tulane Ave BLDG 1
New Orleans, LA 70119-7186

Phone

(504) 377-6628

Fax

(833) 907-2256

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Danielle Gaudin, LPNNPI 1508237678

Title

Owner

Phone

(504) 883-7199

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyshica Rhodes Lofton, LCSW

  • Clinical Social Worker
  • Harvey, LA
  • NPI 1942656921
  Medicare reassignment NPD
• Lee Michals, MD

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1154687754
  Medicare reassignment NPD
• Danielle Gaudin, LPN

  • Licensed Practical Nurse
  • New Orleans, LA
  • NPI 1508237678
  NPD Authorized official
• Marlena Arguello

  • Social Worker
  • New Orleans, LA
  • NPI 1679117733
  NPD
• Amanda Felix, CIT

  • Counselor
  • New Orleans, LA
  • NPI 1174358758
  NPD
• Kim Denise Johnson, LPN

  • Licensed Practical Nurse
  • New Orleans, LA
  • NPI 1245108562
  NPD
• Jennifer Coleen Creedon, M.D.

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1598081879
  NPD (past)
• Caroline Dipretore, LCSW

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1033863584
  NPD (past)
• Megan R Forman

  • Counselor
  • New Orleans, LA
  • NPI 1174481980
  NPD (past)
• Conner Livingston

  • Social Worker
  • New Orleans, LA
  • NPI 1386553451
  NPD (past)
• Ciara Nunez

  • Counselor
  • New Orleans, LA
  • NPI 1215896345
  NPD (past)
• Sandy Ringbom, LPC

  • Professional Counselor
  • Metairie, LA
  • NPI 1770945859
  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1659093847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 TULANE AVE BLDG 1",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197186",
            "telephone_number": "504-377-6628",
            "fax_number": "833-907-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 TULANE AVE BLDG 1",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197186",
            "telephone_number": "504-377-6628",
            "fax_number": "833-907-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY AVENUES MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "GAUDIN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-883-7199",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA NURSING LICENSE",
            "identifier": "20130196",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Rehab Management Group LLC
• Health Service
• Healthefit, LLC (Healthefit)
• Healthspere Management Group, LLC
• Healthwise Psychology LLC
• Healthy Changes, LLC
• Patrick John Healy, MD
• Jessica Lee Heap
• Asha Heard, MD
• Michel E Heard Jr., MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.