Individual provider Active NPI

Gretchen Senn Dison, MA, LPC

  • Professional Counselor
  • Ruston, LA
National Provider Identifier
1679110613
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3781 Issued in LA
Practice address
622 Burgessville Rd
Ruston, LA 71270-5154
Phone
(318) 224-7223
Fax
(318) 415-1004
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 3781 LA
Professional Counselor 101YP2500X 3781 LA Primary

Addresses

Primary practice location

622 Burgessville Rd
Ruston, LA 71270-5154

Mailing address

324 Guy Barron Rd
Spearsville, LA 71277-3526
Phone (318) 680-9791

Other identifiers 1

IdentifierTypeStateIssuer
3547775MedicaidLA

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
I20250801001971 LA Practitioner - Mental Health Counselor 0446768493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thinktrek LLCGroup PAC ID 1951754951, 9 clinicians

Practice addresses (Care Compare)

622 Burgessville Rd
Ruston, LA 71270-5154
Phone (318) 224-7223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3781LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thinktrek LLC Mental Health CurrentSince Jul 19, 2025 Accepting new patients
Superior Counseling PastSince Dec 1, 2019 Accepting new patients

Locations

3018 Old Minden Rd
Ste 1200
Bossier City, LA 71112
Phone (318) 224-7223

622 Burgessville Rd
Ruston, LA 71270
Phone (318) 224-7223

206 E Reynolds Dr
Ste F2
Ruston, LA 71270
Phone (318) 224-7223

Organizations & group practices 2

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1679110613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GUY BARRON RD",
            "city": "SPEARSVILLE",
            "state": "LA",
            "postal_code": "712773526",
            "telephone_number": "318-680-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BURGESSVILLE RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705154",
            "telephone_number": "318-224-7223",
            "fax_number": "318-415-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISON",
        "first_name": "GRETCHEN",
        "middle_name": "SENN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3781",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3547775",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.