NPIMap

Individual provider Active NPI

Yvette Thierry

  • Addiction (Substance Use Disorder) Counselor
  • New Orleans, LA
National Provider Identifier
1861863276
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4017 Issued in LA
Practice address
2968 Gen Collins Ave
New Orleans, LA 70114-6859
Phone
(504) 394-5937
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LA
Case Manager/Care Coordinator 171M00000X 4017 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X 4017 LA Primary

Addresses

Primary practice location

2968 Gen Collins Ave
New Orleans, LA 70114-6859

Mailing address

4329 Vixen St
New Orleans, LA 70131-6651
Phone (504) 239-0121

Other practice location 1

2100 Belle Chasse Hwy
same
Gretna, LA 70053-6651
Phone (504) 367-6630

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

State licenses

LicenseStateTypeSpecialty
4017LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Educational Rehabilitation Center Past 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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1861863276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 VIXEN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316651",
            "telephone_number": "504-239-0121",
            "fax_number": "504-367-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 GEN COLLINS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146859",
            "telephone_number": "504-394-5937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Belle Chasse Hwy",
            "address_2": "same",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700536651",
            "country_code": "US",
            "telephone_number": "504-367-6630",
            "fax_number": "504-367-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIERRY",
        "first_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "4017",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.