Individual provider Active NPI

Maya Guilbeaux

  • Social Worker
  • Harvey, LA
National Provider Identifier
1679010136
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17219 Issued in LA
Practice address
2439 Manhattan Blvd Ste 207
Harvey, LA 70058-5361
Phone
(504) 364-8949
Fax
(504) 364-8968
NPI assigned
Jan 23, 2017
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X 17219 LA Primary

Addresses

Primary practice location

2439 Manhattan Blvd Ste 207
Harvey, LA 70058-5361

Mailing address

2439 Manhattan Blvd Ste 207
Harvey, LA 70058-5361
Phone (504) 364-8949

Other practice location 1

2448 Johnston St
Ste. B
Lafayette, LA 70503-2756
Phone (337) 233-7250

Other identifiers 1

IdentifierTypeStateIssuer
600720410MedicaidLA

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

LicenseStateTypeSpecialty
17219LAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1679010136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD STE 207",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585361",
            "telephone_number": "504-364-8949",
            "fax_number": "504-364-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD STE 207",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585361",
            "telephone_number": "504-364-8949",
            "fax_number": "504-364-8968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 Johnston St",
            "address_2": "Ste. B",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032756",
            "country_code": "US",
            "telephone_number": "337-233-7250",
            "fax_number": "337-233-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILBEAUX",
        "first_name": "MAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600720410",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.