Stacey Guidry, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3641 Issued in LA

Practice address

2080 Highway 1
Raceland, LA 70394-3637

Phone

(985) 226-5677

NPI assigned

Mar 11, 2011

Last updated

Feb 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Epiphany Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Raceland, LA
  • NPI 1982902193
  NPD (past) Authorized official

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1801194014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703943637",
            "telephone_number": "985-226-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703943637",
            "telephone_number": "985-226-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "STACEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Nichole Gilmore, M.D.
• Reena Gopinathan, PT
• Natasha Lynn Goss-Voisin, MD
• Saria Gouher, M.B; B.S, M.D.
• Paige Griffin
• Claudio Verdadero Guillermo Jr., M.D.
• Dennis J. Guillot
• Joyce Marie Hadley
• Mounkaila Garba Hamza, DPT
• Kakeisha Harris

• Professional Counselor in Raceland, LA
• Providers in Raceland, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.