Individual provider Active NPI

Audria Lynette Musgrove, MA, LPC, BC-TMH

  • Professional Counselor
  • Minden, LA
National Provider Identifier
1750756482
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5204 Issued in LA
Practice address
105 Madison SQ
Minden, LA 71055-3095
Phone
(318) 734-8553
Fax
(844) 769-7920
NPI assigned
Dec 7, 2015
Last updated
Apr 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 5204 LA Primary

Addresses

Primary practice location

105 Madison SQ
Minden, LA 71055-3095

Mailing address

PO Box 83
Doyline, LA 71023-0083
Phone (318) 734-8553

Other identifiers 2

IdentifierTypeStateIssuer
3618532MedicaidLA
13859446OtherLACAQH

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5204LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Musgrove Consulting LLC Professional CurrentSince Apr 9, 2023 Accepting new patients

Locations

105 Madison Sq
Minden, LA 71055
Phone (318) 423-2398

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1750756482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "DOYLINE",
            "state": "LA",
            "postal_code": "710230083",
            "telephone_number": "318-734-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MADISON SQ",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553095",
            "telephone_number": "318-734-8553",
            "fax_number": "844-769-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "AUDRIA",
        "middle_name": "LYNETTE",
        "name_prefix": "Miss",
        "credential": "MA, LPC, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3618532",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13859446",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.