Haylie D'Nea Wagoner, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10706 Issued in LA

Practice address

17534 Old Jefferson Hwy Ste B2
Prairieville, LA 70769-3978

Phone

(225) 244-9110

Fax

(504) 335-0775

NPI assigned

May 23, 2025

Last updated

Oct 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tiffany Thibodeaux LLC

  dba Prairieville Counseling

  • Professional Counselor
  • Prairieville, LA
  • NPI 1679162374
  NPD

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1720871619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [
        {
            "address_1": "1234 Del Este Ave Ste 803",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707264828",
            "country_code": "US",
            "telephone_number": "224-244-9110 x49110",
            "fax_number": "504-335-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGONER",
        "first_name": "HAYLIE",
        "middle_name": "D'NEA",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "10706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Diffey Vercher, NP
• Kaylie Elizabeth Verdun
• Megan Vessell
• Victoria's Heart LLC
• W Trent Massengale, MD LLC
• Wal-Mart
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4048)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5056)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5310)
• Wal-Mart Stores East, LP (Vision Center 30-5056)

• Professional Counselor in Prairieville, LA
• Providers in Prairieville, 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 28, 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.

Verify at the official NPI Registry.