Active NPI
Paul Gonsoulin, LPC
- Mental Health Counselor
- Lake Charles, LA
National Provider Identifier
1700313467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7548
- Practice address
- 833 Hodges St
Lake Charles, LA 70601-4247 - Phone
- (337) 502-9497
- NPI assigned
- May 12, 2017
- Last updated
- Mar 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 7548 | LA | Primary |
Addresses
Primary practice location
833 Hodges St
Lake Charles, LA 70601-4247
Mailing address
412 Woodruff St
Lake Charles, LA 70601-5860
Phone (337) 794-3497
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4816 Ogden Rd
Lake Charles, LA 70605-3918
PO Box
Suite 712260
Salt Lake City, UT 84171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7548 | LA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots Counseling LLC | Mental Health | Current | Accepting new patients |
| Counseling Services of Southwest Louisiana, Inc. | Mental Health | Past | Accepting new patients |
| Disney & Associates, Inc | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Lake Charles, LA
- NPI 1821758749
-
- Mental Health Counselor
- Lake Charles, LA
- NPI 1831244821
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Charles, LA
- NPI 1225183213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1700313467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 WOODRUFF ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015860",
"telephone_number": "337-794-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 HODGES ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706014247",
"telephone_number": "337-502-9497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSOULIN",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-12",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "7548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Michelle Trenton Godeaux, M.,S.,LPC-S,LMFT
- Paul Godeaux, M.S.,LPC,LMFT
- Lucy Mee Lan Goh, MD
- Austin Goings
- Golden Touch LLC
- Javiera Paz Gonzalez Soto, ME.D, LAT, ATC
- Good Shepherd Home Health Agency, Inc. (Home Health Care 2000 - Lake Charles)
- Arlond Wesley Goodell, PHARMD
- Emily Ann Goodfriend, NP
- Kaylyn Goodfriend
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.