Individual provider Active NPI

Theresa Marie Hardy, PHD

  • Addiction (Substance Use Disorder) Counselor
  • Lake Charles, LA
National Provider Identifier
1851925408
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5066 Issued in LA
Practice address
6027 Candice LN
Lake Charles, LA 70615-4773
Phone
(337) 520-0057
NPI assigned
Feb 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5066 LA Primary

Addresses

Primary practice location

6027 Candice LN
Lake Charles, LA 70615-4773

Mailing address

3717 Swanee St
Lake Charles, LA 70607-3035
Phone (337) 249-0536

Other practice location 1

1409 Kirkman St
Lake Charles, LA 70601-5344
Phone (337) 249-0536

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5066LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
B3 Community Alliance Addiction (Substance Use Disorder) CurrentSince Mar 1, 2021 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": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1851925408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 SWANEE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706073035",
            "telephone_number": "337-249-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 CANDICE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154773",
            "telephone_number": "337-520-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Kirkman St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706015344",
            "country_code": "US",
            "telephone_number": "337-249-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.