Individual provider Active NPI

Henry Mitchell III, LPC

  • Professional Counselor
  • Raceland, LA
National Provider Identifier
1689048852
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6665 Issued in LA
Practice address
157 Twin Oaks Dr
Raceland, LA 70394-2761
Phone
(985) 537-6823
Fax
(985) 537-5519
NPI assigned
Nov 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LA
Professional Counselor 101YP2500X 6665 LA Primary

Addresses

Primary practice location

157 Twin Oaks Dr
Raceland, LA 70394-2761

Mailing address

157 Twin Oaks Dr
Raceland, LA 70394-2761
Phone (985) 537-6823

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
I20240307001869 LA Practitioner - Mental Health Counselor 3678923273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafourche Parish Hospital Service District No 1Group PAC ID 2264342229, shared by 7 NPIs, 23 clinicians

Practice addresses (Care Compare)

200 W 134TH PL
Cut Off, LA 70345-4143
Phone (985) 632-6401

200 W 134TH Place
Cut Off, LA 70345-4143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6665LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority CurrentSince Jan 29, 2024 Accepting new patients
South Central la Human Services Authority Current Accepting new patients
South Central la Human Services Authority CurrentSince Jan 29, 2024 Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 876-8889

5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • Direct secure messaging: henry.mitchell.1@748.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

Organizations & group practices 3

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1689048852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TWIN OAKS DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942761",
            "telephone_number": "985-537-6823",
            "fax_number": "985-537-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TWIN OAKS DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942761",
            "telephone_number": "985-537-6823",
            "fax_number": "985-537-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "HENRY",
        "name_suffix": "III",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-25",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

Verify at the official NPI Registry.