Individual provider Active NPI

Patrick Wilton Harlow Jr., LPC

  • Mental Health Counselor
  • Lake Charles, LA
National Provider Identifier
1801674882
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9132 Issued in LA
Practice address
4105 Kirkman St
Lake Charles, LA 70607-4603
Phone
(337) 475-8022
NPI assigned
Sep 20, 2023
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9132 LA Primary

Addresses

Primary practice location

4105 Kirkman St
Lake Charles, LA 70607-4603

Mailing address

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-3100

Other practice location 1

2651 E Napoleon St
Sulphur, LA 70663-3707
Phone (337) 625-6750

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
I20250213001267 LA Practitioner - Mental Health Counselor 5890225387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

145 Hospital Dr
Oakdale, LA 71463-3034
Phone (337) 639-3001

2651 E Napoleon St
Imcal Hsa Behavioral Health Sulphur
Sulphur, LA 70663-3707
Phone (337) 625-6750

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-8022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9132LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Calcasieu Human Services Authority CurrentSince Nov 7, 2024 Accepting new patients
Imperial Calcasieu Human Services Authority CurrentSince Nov 7, 2024 Accepting new patients
Imperial Calcasieu Human Services Authority Current Accepting new patients
Imperial Calcasieu Human Services Authority Past Accepting new patients

Locations

106 W Port St
Deridder, LA 70634
Phone (337) 462-1354

437 N Market St
Jennings, LA 70546
Phone (337) 246-7325

4105 Kirkman St
Lake Charles, LA 70607
Phone (337) 475-3100

145 Hospital Dr
Oakdale, LA 71463
Phone (337) 639-3001

2651 E Napoleon St
Sulphur, LA 70663
Phone (337) 475-3100

Organizations & group practices 4

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1801674882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 E Napoleon St",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706633707",
            "country_code": "US",
            "telephone_number": "337-625-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "PATRICK",
        "middle_name": "WILTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "9132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.