Individual provider Active NPI

Katelyn Ann McCrady, PLPC

  • Professional Counselor
  • Houma, LA
National Provider Identifier
1700599420
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PLC9704 Issued in LA
Practice address
235 Civic Center Blvd
Houma, LA 70360-5937
Phone
(985) 879-3966
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PLC9704 LA
Peer Specialist 175T00000X
Professional Counselor 101YP2500X PLC9704 LA Primary

Addresses

Primary practice location

235 Civic Center Blvd
Houma, LA 70360-5937

Mailing address

723 Point St
Houma, LA 70360-4744
Phone (985) 851-4488

Other practice location 1

723 Point St
Houma, LA 70360-4744
Phone (985) 851-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PLC9704LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forensic Therapy Wellness, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1700599420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 POINT ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604744",
            "telephone_number": "985-851-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CIVIC CENTER BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605937",
            "telephone_number": "985-879-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Point St",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703604744",
            "country_code": "US",
            "telephone_number": "985-851-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRADY",
        "first_name": "KATELYN",
        "middle_name": "ANN",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "PLC9704",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC9704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.