Active NPI
Gwendolyn Hart
- Mental Health Counselor
- Slidell, LA
National Provider Identifier
1730613654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004276909
- Practice address
- 2053 Gause Blvd E Ste 150
Slidell, LA 70461-5451 - Phone
- (985) 649-1001
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004276909 | LA | Primary |
Addresses
Primary practice location
2053 Gause Blvd E Ste 150
Slidell, LA 70461-5451
Mailing address
2053 Gause Blvd E Ste 150
Slidell, LA 70461-5451
Phone (985) 649-1001
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 |
|---|---|---|---|
| 004276909 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1730613654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2053 GAUSE BLVD E STE 150",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615451",
"telephone_number": "985-649-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2053 GAUSE BLVD E STE 150",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615451",
"telephone_number": "985-649-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "GWENDOLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "004276909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.