Active NPI
Jessica Lynne Colbenson, PLPC
- Counselor
- Prairieville, LA
National Provider Identifier
1699515858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10158
- Practice address
- 17534 Old Jefferson Hwy Ste B2
Prairieville, LA 70769-3978 - Phone
- (225) 244-9110
- Fax
- (504) 335-0775
- NPI assigned
- May 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10158 | LA | Primary |
Addresses
Primary practice location
17534 Old Jefferson Hwy Ste B2
Prairieville, LA 70769-3978
Mailing address
12300 Leblanc LN
Walker, LA 70785-5765
Phone (504) 813-5564
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10158 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany Thibodeaux LLC | Current | Accepting new patients |
Locations
17534 Old Jefferson Hwy
Ste B2
Prairieville, LA 70769
Phone (225) 244-9110
Organizations & group practices 1
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.
-
- Professional Counselor
- Prairieville, LA
- NPI 1679162374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1699515858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 LEBLANC LN",
"city": "WALKER",
"state": "LA",
"postal_code": "707855765",
"telephone_number": "504-813-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17534 OLD JEFFERSON HWY STE B2",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693978",
"telephone_number": "225-244-9110",
"fax_number": "504-335-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBENSON",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-27",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "10158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.