Individual provider Active NPI

George Molaison, LPC, M.A.

  • Professional Counselor
  • Thibodaux, LA
National Provider Identifier
1861939746
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6861 Issued in LA
Practice address
312 E Bayou Rd
Thibodaux, LA 70301-8036
Phone
(985) 266-0444
NPI assigned
Jan 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6861 LA
Professional Counselor 101YP2500X 6861 LA Primary

Addresses

Primary practice location

312 E Bayou Rd
Thibodaux, LA 70301-8036

Mailing address

417 S Johnson St
New Orleans, LA 70112-2237
Phone (504) 524-7205

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
I20241217001050 LA Practitioner - Mental Health Counselor 0648707562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6861LAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Start Corporation CurrentSince Dec 1, 2024 Accepting new patients
Start Corporation CurrentSince Dec 1, 2024 Accepting new patients

Locations

235 Civic Center Blvd
Houma, LA 70360
Phone (985) 333-2020

420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784

312 E Bayou Rd
Thibodaux, LA 70301
Phone (985) 266-0444

Organizations & group practices 2

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1861939746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S JOHNSON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122237",
            "telephone_number": "504-524-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E BAYOU RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018036",
            "telephone_number": "985-266-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLAISON",
        "first_name": "GEORGE",
        "credential": "LPC, M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "6861",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.