Morgan Lynne Wangerin Lemoine, MA,LPC-S, C-DBT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5351 Issued in LA

Practice address

1500 Lafayette St Ste 156
Gretna, LA 70053-5778

Phone

(504) 608-4769

Fax

(504) 336-3418

NPI assigned

Oct 19, 2015

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Morgan Lynne Wangerin Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1699146522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 CLAIRE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611363",
            "telephone_number": "504-317-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE ST STE 156",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535778",
            "telephone_number": "504-608-4769",
            "fax_number": "504-336-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGERIN LEMOINE",
        "first_name": "MORGAN",
        "middle_name": "LYNNE",
        "credential": "MA,LPC-S, C-DBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13852207",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3565277",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mwangerin@sanctuary-counseling.direct.consensus.com",
            "affiliation": "N",
            "endpointDescription": "Consunus",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 Lafayette St Ste 156",
            "city": "Gretna",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700535778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "WANGERIN",
            "middle_name": "LYNNE",
            "credential": "MA, NCC, LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.