Jimmy F Trahan, LOUISIANA LPC # 6765

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6765 Issued in LA

Practice address

1924 Southwood Dr
Lake Charles, LA 70605-4131

Phone

(337) 240-8162

NPI assigned

Oct 22, 2018

Sex

Male

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

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance Solutions LLCGroup PAC ID 4385037555, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renaissance Solutions, LLC

  • Professional Counselor
  • Lake Charles, LA
  • NPI 1881362572
  Medicare reassignment Care Compare group NPD Authorized official
• Mental Connections of Southwest LLC

  • Mental Health Counselor
  • Lake Charles, LA
  • NPI 1508301037
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1871069435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 SOUTHWOOD DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054131",
            "telephone_number": "337-240-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 SOUTHWOOD DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054131",
            "telephone_number": "337-240-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Williamsburg St Bldg E",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706055719",
            "country_code": "US",
            "telephone_number": "337-376-0136",
            "fax_number": "337-376-5244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "JIMMY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "LOUISIANA LPC # 6765",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Townsend Treatment Center, LLC
• Elizabeth Townsend, R.D.
• Gault Henry Townsend, MD
• Amanda Trahan
• Emma Catherine Trahan
• John Edward 'Jet' Trahan II, D.D.S., M.S.D.
• Robin Browne Trahan, RN
• Chelsey Trammell, PHARMD
• Bethany Hebert Tramonte
• Laurie Tramonte, MS, CCC-SLP

• Professional Counselor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.