Organization Active NPI

Rewired, Counseling and Brainspotting, LLC

  • Counselor
  • Hammond, LA
National Provider Identifier
1700341393
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
REWIRED, COUNSELING AND BRAINSPOTTING, LLC
Practice address
1250 SW Railroad Ave Ste 170
Hammond, LA 70403-5011
Phone
(985) 288-1315
NPI assigned
Feb 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Emily R. Moise-Fontenot, LPC-S
Title
Mental Health Counselor/Owner
Phone
(985) 288-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1250 SW Railroad Ave Ste 170
Hammond, LA 70403-5011

Mailing address

47191 Bender Rd
Hammond, LA 70401-6829
Phone (985) 288-1315

National Provider Directory

National Provider Directory

Locations

1250 SW Railroad Ave
Ste 170
Hammond, LA 70403
Phone (936) 230-1330

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1700341393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47191 BENDER RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704016829",
            "telephone_number": "985-288-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SW RAILROAD AVE STE 170",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035011",
            "telephone_number": "985-288-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRED, COUNSELING AND BRAINSPOTTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "MOISE-FONTENOT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/OWNER",
        "authorized_official_telephone_number": "985-288-1315",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.