Individual provider Active NPI

Jamie Goudeau

  • Mental Health Counselor
  • Oakdale, LA
National Provider Identifier
1780040741
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8797 Issued in LA
Practice address
905 E 7TH Ave
Oakdale, LA 71463
Phone
(318) 335-1048
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X 8797 LA Primary

Addresses

Primary practice location

905 E 7TH Ave
Oakdale, LA 71463

Mailing address

3625 Youree Dr
Shreveport, LA 71105-2121
Phone (318) 473-4328

Other practice location 1

5417 Jackson St Ste D
Alexandria, LA 71303-2322
Phone (318) 473-4328

Other practice location 2

5417 Jackson St Ste D
Alexandria, LA 71303-2322
Phone (318) 473-4328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602003161 LA Practitioner - Mental Health Counselor 1557870409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Healthcare Solutions LLCGroup PAC ID 9133598055, 14 clinicians

Practice addresses (Care Compare)

724 W Magnolia St
Ville Platte, LA 70586-4320
Phone (337) 506-2294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8797LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Healthcare Solutions LLC CurrentSince Apr 1, 2025 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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1780040741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052121",
            "telephone_number": "318-473-4328",
            "fax_number": "318-473-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E 7TH AVE",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "71463",
            "telephone_number": "318-335-1048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5417 Jackson St Ste D",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713032322",
            "country_code": "US",
            "telephone_number": "318-473-4328",
            "fax_number": "318-473-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5417 Jackson St Ste D",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713032322",
            "country_code": "US",
            "telephone_number": "318-473-4328",
            "fax_number": "318-473-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUDEAU",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, LA

Sources for this page

Verify at the official NPI Registry.