Ivy Desirae Bennett Sias, M.S., NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5550 Issued in LA

Practice address

1010 Auburn Ave
Lafayette, LA 70503-2308

Phone

(337) 232-9457

Fax

(337) 232-9459

NPI assigned

Sep 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivy Counseling & Wellness Services LLC

  • Professional Counselor
  • Carencro, LA
  • NPI 1922513738
  NPD (past) Authorized official
• Biltmore Health Services Inc

  dba Path Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1851781595
  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1659741999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SAINT MATTHIAS DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205576",
            "telephone_number": "310-429-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 AUBURN AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032308",
            "telephone_number": "337-232-9457",
            "fax_number": "337-232-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAS",
        "first_name": "IVY",
        "middle_name": "DESIRAE BENNETT",
        "name_prefix": "Mrs.",
        "credential": "M.S., NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "5550",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Anthony Showalter, M.D.
• Jishna Shrestha, MD
• Samuel Henderson Shuffler, MD
• Creighton E Shute, D.O.
• Christin Ann Sias, HAIR LOSS SPECIALIST
• Jonterra Sias
• Tanya Sias, MS CCC SLP
• Galeno Sibilia, MD
• Brittany M'Liss Sibille, CNP
• Charles Sibille

• Professional Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.